Individual provider Active NPI

Jamee Elizabeth Ahlers, MS-CCC-SLP

  • Speech-Language Pathologist
  • Belleville, IL
National Provider Identifier
1801911144
Registry record updated Jan 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146006804 Issued in IL
Practice address
206 Winterberry Dr
Belleville, IL 62220-2743
Phone
(618) 567-9654
NPI assigned
Mar 19, 2007
Last updated
Jan 7, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2001031975 MO
Speech-Language Pathologist 235Z00000X 146006804 IL Primary

Addresses

Primary practice location

206 Winterberry Dr
Belleville, IL 62220-2743

Mailing address

924 Southgate Dr
Belleville, IL 62223-3538
Phone (618) 394-9522

Other names 1

  • Jamee Jacquot Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200325001491 IL Practitioner - Qualified Speech Language Pathologist 3678901618 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Powerback Rehabilitation LLCGroup PAC ID 2365359932, 600 clinicians

Practice addresses (Care Compare)

1022 E Wesley Dr
O Fallon, IL 62269-6107
Phone (618) 607-5081

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bel Oak of Hudson House LLC Speech-Language Pathologist CurrentSince Feb 1, 2025 Accepting new patients
Powerback Rehabilitation LLC Speech-Language Pathologist CurrentSince Feb 12, 2020 Accepting new patients
Powerback Rehabilitation LLC Speech-Language Pathologist CurrentSince Feb 12, 2020 Accepting new patients

Locations

1700B S Hudson Ave
Aurora, MO 65605
Phone (417) 678-2169

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578355200000",
    "number": "1801911144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 SOUTHGATE DR",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622233538",
            "telephone_number": "618-394-9522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 WINTERBERRY DR",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622202743",
            "telephone_number": "618-567-9654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHLERS",
        "first_name": "JAMEE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "MS-CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2001031975",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146006804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMEE",
            "last_name": "JACQUOT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Belleville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2020; 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.