Active NPI
Jean M Irving, MS CCC/SLP
- Speech-Language Pathologist
- Dracut, MA
National Provider Identifier
1851524672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 4592
- Practice address
- 1021 Methuen St
Dracut, MA 01826-5319 - Phone
- (978) 459-6186
- NPI assigned
- Aug 27, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 4592 | MA | Primary |
Addresses
Primary practice location
1021 Methuen St
Dracut, MA 01826-5319
Mailing address
31 Hathaway Rd
Wilmington, MA 01887-1523
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4592 | MA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251331200000",
"number": "1851524672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 HATHAWAY RD",
"city": "WILMINGTON",
"state": "MA",
"postal_code": "018871523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1021 METHUEN ST",
"city": "DRACUT",
"state": "MA",
"postal_code": "018265319",
"telephone_number": "978-459-6186"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IRVING",
"first_name": "JEAN",
"middle_name": "M",
"credential": "MS CCC/SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-08-27",
"last_updated": "2009-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MA",
"license": "4592",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dracut, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.