Individual provider Active NPI

Jacqueline Suros Wade, SLP

  • Speech-Language Pathologist
  • Asheville, NC
National Provider Identifier
1851952006
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
30002405 Issued in NC
Practice address
6 Yorkshire St Ste D
Asheville, NC 28803-2768
Phone
(828) 417-7085
Fax
(828) 417-7059
NPI assigned
Jun 27, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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 30002405 NC Primary

Addresses

Primary practice location

6 Yorkshire St Ste D
Asheville, NC 28803-2768

Mailing address

139 River Birch Grove Rd Apt 203
Asheville, NC 28806-0338
Phone (908) 442-3080

Other names 1

  • Jacqueline Marie Suros Former name

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

State licenses

LicenseStateTypeSpecialty
30002405NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Asheville Community Therapy Center, PLLC Speech-Language Pathologist CurrentSince Aug 17, 2025 Accepting new patients

Locations

959 Merrimon Ave
Ste 101
Asheville, NC 28804
Phone (828) 417-7085

6 Yorkshire St
Ste D
Asheville, NC 28803
Phone (828) 417-7085

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": "1561593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1851952006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 RIVER BIRCH GROVE RD APT 203",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288060338",
            "telephone_number": "908-442-3080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 YORKSHIRE ST STE D",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288032768",
            "telephone_number": "828-417-7085",
            "fax_number": "828-417-7059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADE",
        "first_name": "JACQUELINE",
        "middle_name": "SUROS",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-27",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "30002405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "SUROS",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Asheville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; 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.