Jacquelyn M McGhee, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

162530 Issued in KY

Practice address

115 Little St
Manchester, KY 40962-1233

Phone

(606) 391-6224

NPI assigned

May 2, 2014

Last updated

Oct 19, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Magnolia Tree Therapy, LLC

  • Speech-Language Pathologist
  • Manchester, KY
  • NPI 1447926894
  NPD

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

{
    "created_epoch": "1398988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634601600000",
    "number": "1730599580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 LITTLE ST",
            "city": "MANCHESTER",
            "state": "KY",
            "postal_code": "409621233",
            "telephone_number": "606-682-2647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 LITTLE ST",
            "city": "MANCHESTER",
            "state": "KY",
            "postal_code": "409621233",
            "telephone_number": "606-391-6224"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 Professional Park Dr",
            "address_purpose": "LOCATION",
            "city": "Clarksville",
            "state": "TN",
            "postal_code": "370405244",
            "country_code": "US",
            "telephone_number": "931-552-3002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 Macadonia Church Rd",
            "address_purpose": "LOCATION",
            "city": "London",
            "state": "KY",
            "postal_code": "407417710",
            "country_code": "US",
            "telephone_number": "606-682-2647",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCGHEE",
        "first_name": "JACQUELYN",
        "middle_name": "M",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-02",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "162530",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100746400",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "magnoliatreetherapy@therapysecure.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "115 Little St",
            "city": "Manchester",
            "state": "KY",
            "country_code": "US",
            "postal_code": "409621233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Kevin McLendon, DO
• Medi Center Drugs, Inc.
• Memorial Hospital (Physician Services of Memorial Hospital)
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• Speech-Language Pathologist in Manchester, KY
• Providers in Manchester, KY by specialty
• Speech-Language Pathologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2021; 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.