Roxana D Lieberg Jordheim, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2620 Issued in ND

Practice address

37 Vail Cir
Grand Forks, ND 58201-5165

Phone

(701) 330-7772

NPI assigned

Jun 5, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Roxana D Jordheim Former name

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Little Miracles, Inc.

  • Multi-Specialty Clinic/Center
  • Grand Forks, ND
  • NPI 1821110982
  Medicare reassignment NPD
• Lil Talkers Speech LLC

  • Speech-Language Pathologist
  • Hermiston, OR
  • NPI 1275110876
  NPD Authorized official

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1730128133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 VAIL CIR",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582015165",
            "telephone_number": "701-330-7772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 VAIL CIR",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582015165",
            "telephone_number": "701-330-7772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEBERG JORDHEIM",
        "first_name": "ROXANA",
        "middle_name": "D",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-05",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "15822",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ND",
            "license": "2620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "51030",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROXANA",
            "last_name": "JORDHEIM",
            "middle_name": "D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Reginald Lewis
• Sarah Noel Lewis, PMHNP-NC
• Steven Anthony Lewis, PHARMD
• Qianlin Li, DPM
• Carl Liebe, MD
• Amanda Joy Liebersbach, APRN
• Life Solutions and Therapy, PLLC
• Lifetime Vision Center, LLC
• Kimisean Liggett
• Justin Lill, BSRT, R.T.(R)(ARRT)

• Speech-Language Pathologist in Grand Forks, ND
• Providers in Grand Forks, ND by specialty
• Speech-Language Pathologist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.