Individual provider Active NPI

Jesse Leben-Wolf

  • Speech-Language Pathologist
  • Concord, CA
National Provider Identifier
1831844133
Registry record updated Feb 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
16500 Issued in CA
Practice address
1849 Willow Pass Rd Ste 420
Concord, CA 94520-2524
Phone
(925) 672-9440
NPI assigned
Feb 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2022

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 16500 CA Primary

Addresses

Primary practice location

1849 Willow Pass Rd Ste 420
Concord, CA 94520-2524

Mailing address

1849 Willow Pass Rd Ste 420
Concord, CA 94520-2524
Phone (925) 672-9440

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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Communication Across Barriers Speech Clinics Inc. Speech-Language Pathologist CurrentSince Feb 24, 2022 Accepting new patients

Locations

1849 Willow Pass Rd
Ste 420
Concord, CA 94520
Phone (925) 212-0691

Organizations & group practices 1

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": "1644883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644883200000",
    "number": "1831844133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1849 WILLOW PASS RD STE 420",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945202524",
            "telephone_number": "925-672-9440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1849 WILLOW PASS RD STE 420",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945202524",
            "telephone_number": "925-672-9440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBEN-WOLF",
        "first_name": "JESSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-15",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "16500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; 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.