Jennifer Elaine Berry, M.S., CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Morrilton, AR
NPI 1790796308 · NPPES record last updated Oct 12, 2023
Key facts
- NPI
- 1790796308
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SP#2134 (AR)
- Practice address
- 1510 E Harding St
Morrilton, AR 72110-1540 - Phone
- (501) 208-2316
- Fax
- (501) 322-6427
- NPI assigned
- Aug 10, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- N Speech Inc
Practice addresses (Care Compare)
1510 E Harding St
Morrilton, AR 72110-1540
Phone (501) 208-2316
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231128001252 | AR | Practitioner - Qualified Speech Language Pathologist | 3577911882 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP#2134 | AR | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| N'Speech | Speech-Language Pathologist | Current | Accepting new patients |
| N'Speech, Inc | Speech-Language Pathologist | Current |
Accepting new patients |
Locations
1510 N Business 9
Morrilton, AR 72110
Phone (501) 208-2316
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP#2134 | AR | Yes |
Addresses
Primary practice location
1510 E Harding St
Morrilton, AR 72110-1540
Mailing address
PO Box 554
Morrilton, AR 72110-0554
Phone (501) 208-2316
Other practice location 1
323 Bald Knob Rd
Morrilton, AR 72110-9264
Phone (501) 208-2316
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 152322721 | Medicaid | AR |
Other providers in Morrilton, AR
- Diana L Beck
- Djuana Beck
- Madeline Beck
- Rebecca Beck
- Rhonda Beck
- Natalie Nicole Black
- Kelli Jane Bloomfield
- Christian Drake Briggler
- Jackson Briggler
- Peggy Brimer
All providers in Morrilton, AR · Speech-Language Pathologist in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 12, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.