Individual provider Active NPI

Jennifer Marie Cox, MS, CCC-SLP

  • Speech-Language Pathologist
  • Mt Pleasant, SC
National Provider Identifier
1720184658
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3935 Issued in SC
Practice address
1263 Lake Mallard Blvd
Mt Pleasant, SC 29464-4226
Phone
(314) 249-9399
NPI assigned
Sep 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 3935 SC Primary

Addresses

Primary practice location

1263 Lake Mallard Blvd
Mt Pleasant, SC 29464-4226

Mailing address

1263 Lake Mallard Blvd
Mt Pleasant, SC 29464-4226
Phone (314) 249-9399

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170222001276 MO Practitioner - Qualified Speech Language Pathologist 1355625146 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fox Rehabilitation Services SLP Mo LLCGroup PAC ID 7911322789, 13 clinicians

Practice addresses (Care Compare)

Washington, MO 63090
Phone (877) 407-3422

10199 Woodfield LN
Saint Louis, MO 63132-2922
Phone (877) 407-3422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
3935SCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Aegis Group Practice LLC Speech-Language Pathologist Current Accepting new patients
Fox Rehabilitation Services SLP Mo LLC Speech-Language Pathologist CurrentSince Jul 1, 2020 Accepting new patients
Aegis Group Practice LLC Speech-Language Pathologist CurrentSince Jan 17, 2017 Accepting new patients
Aegis Group Practice LLC Speech-Language Pathologist CurrentSince Jan 17, 2017 Accepting new patients

Locations

4933 Old Greenwood Rd
Fort Smith, AR 72903

3330 Ehlmann Rd
Saint Charles, MO 63301
Phone (636) 205-1056

10199 Woodfield Ln
Saint Louis, MO 63132
Phone (314) 485-5845

1650 High St
Washington, MO 63090
Phone (636) 390-3290

7 Carnegie Plz
Cherry Hill, NJ 08003

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720184658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1263 LAKE MALLARD BLVD",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294644226",
            "telephone_number": "314-249-9399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1263 LAKE MALLARD BLVD",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294644226",
            "telephone_number": "314-249-9399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COX",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "3935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.