Individual provider Active NPI

Jeena Anness, SLP

  • Speech-Language Pathologist
  • Youngstown, OH
National Provider Identifier
1831474840
Registry record updated Oct 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
5929 Issued in OH
Practice address
1325 Churchill Hubbard Rd
Youngstown, OH 44505-1346
Phone
(330) 759-5904
Fax
(330) 759-8709
NPI assigned
Oct 21, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 5929 OH Primary

Addresses

Primary practice location

1325 Churchill Hubbard Rd
Youngstown, OH 44505-1346

Mailing address

1325 Churchill Hubbard Rd
Youngstown, OH 44505-1346
Phone (330) 759-5904

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5929OHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kids Choice LLC Speech-Language Pathologist CurrentSince Dec 6, 2024 Accepting new patients
Home Health by Windsor, LLC Current Accepting new patients
Lock and Key ABA Therapy Group PastSince Dec 6, 2024 Accepting new patients
Atlas Rehab and Wellness Center LLC Speech-Language Pathologist Past Accepting new patients

Locations

8561 Market St
Youngstown, OH 44512
Phone (330) 953-2383

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1319155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319155200000",
    "number": "1831474840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 CHURCHILL HUBBARD RD",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445051346",
            "telephone_number": "330-759-5904",
            "fax_number": "330-759-8709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 CHURCHILL HUBBARD RD",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445051346",
            "telephone_number": "330-759-5904",
            "fax_number": "330-759-8709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANNESS",
        "first_name": "JEENA",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-21",
        "last_updated": "2011-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "5929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2011; 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.