Laura Long Jackson, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

19440 Issued in TX

Practice address

2600 James Rd
Granbury, TX 76049-2927

Phone

(817) 910-8131

NPI assigned

Dec 8, 2006

Last updated

Mar 27, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 1999

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Making Waves Pediatric Therapy Clinic LLC

  • Speech-Language Pathologist
  • Granbury, TX
  • NPI 1326639535
  Medicare reassignment NPD
• Countryside Therapy Group Home Health, LLC

  • Home Health Agency
  • Stephenville, TX
  • NPI 1952713869
  NPD (past)
• Countryside Therapy Group, Inc

  • Rehabilitation Clinic/Center
  • Stephenville, TX
  • NPI 1710999289

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774569600000",
    "number": "1740340181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1803 W SPANISH OAK DR",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760482906",
            "telephone_number": "817-579-0401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 JAMES RD",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760492927",
            "telephone_number": "817-910-8131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "LAURA",
        "middle_name": "LONG",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "19440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oluwakemi Bassey Iwanefun, WHNP
• J Scott Smith MD PA
• J&B Inhome Texas Care, LLC (Home Instead Senior Care)
• Jack Jones Hearing Centers, Inc (AudioNova)
• Heath Owen Jackson, DPM
• Penelope Aikin Jackson, M.D.
• Rachael Myers Jackson, FNP-C
• Joan G Jaeckle, LCSW
• Amanda Lynn Jarvis, WHNP
• Jason a Berry DDS PA

• Speech-Language Pathologist in Granbury, TX
• Providers in Granbury, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2026; 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.