Jena Aebi, M.S. CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Tempe, AZ
NPI 1801217286 · NPPES record last updated Oct 30, 2023
Key facts
- NPI
- 1801217286
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SLP8011 (AZ)
- Practice address
- 1905 E Minton Dr
Tempe, AZ 85282-7355 - Phone
- (623) 203-0983
- NPI assigned
- Jan 2, 2014
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 10
Medicare Care Compare profile
- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- RWW Outpatient Rehab Services, LLC
Practice addresses (Care Compare)
1190 E Missouri Ave
Suite 100
Phoenix, AZ 85014-2719
Phone (602) 393-0520
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240503003418 | AZ | Practitioner - Qualified Speech Language Pathologist | 7911347166 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP8011 | AZ | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Arizona University | Current |
Accepting new patients | |
| RWW Outpatient Rehab Services, LLC | Current |
Accepting new patients | |
| Az BD of Regents for on Behalf of Northern Az University | Current |
Accepting new patients | |
| Advanced Therapy Solutions, LLC | Past |
Accepting new patients | |
| Mentis Reo, LLC. | Past |
Accepting new patients |
Locations
208 E Pne Knl Dr
Flagstaff, AZ 86011
Phone (928) 523-5122
912 Riordan Rd
Flagstaff, AZ 86011
Phone (928) 523-1695
912 Riordan Rd
Bldg 27 A
Flagstaff, AZ 86011
Phone (928) 523-6773
13481 W McDowell Rd
Ste 300
Goodyear, AZ 85395
Phone (623) 536-2325
1190 E Missouri Ave
Ste 100
Phoenix, AZ 85014
Phone (602) 393-0520
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP8011 | AZ | Yes |
Addresses
Primary practice location
1905 E Minton Dr
Tempe, AZ 85282-7355
Mailing address
1905 E Minton Dr
Tempe, AZ 85282-7355
Phone (623) 203-0983
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All providers in Tempe, AZ · Speech-Language Pathologist in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 30, 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.