Individual provider Active NPI

Jori Helen O'Connor, M.A., CCC-SLP, BCBA

  • Speech-Language Pathologist
  • Homewood, IL
National Provider Identifier
1710222955
Registry record updated Dec 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146011593 Issued in IL
Practice address
1804 Willow Rd
Homewood, IL 60430-3322
Phone
(708) 798-3720
NPI assigned
Nov 28, 2012
Last updated
Dec 18, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 242.002242 IL
Speech-Language Pathologist 235Z00000X 146011593 IL Primary
Behavior Analyst 103K00000X

Addresses

Primary practice location

1804 Willow Rd
Homewood, IL 60430-3322

Mailing address

9317 Wheeler Dr
Orland Park, IL 60462-4737
Phone (708) 431-4285

Other practice location 1

21534 Morning Dove Ln
Frankfort, IL 60423-2261
Phone (708) 466-5472

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
146011593ILMDSpeech-Language Pathologist
242.002242ILMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kids First Words II, Inc. Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1354060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576627200000",
    "number": "1710222955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9317 WHEELER DR",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604624737",
            "telephone_number": "708-431-4285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1804 WILLOW RD",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604303322",
            "telephone_number": "708-798-3720"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21534 Morning Dove Ln",
            "address_purpose": "LOCATION",
            "city": "Frankfort",
            "state": "IL",
            "postal_code": "604232261",
            "country_code": "US",
            "telephone_number": "708-466-5472",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'CONNOR",
        "first_name": "JORI",
        "middle_name": "HELEN",
        "credential": "M.A., CCC-SLP, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-28",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "242.002242",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146011593",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homewood, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.