Active NPI
Jennifer Louise Henderson, SLPA
- Speech-Language Assistant
- Lakewood, WA
National Provider Identifier
1871447136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- SP61684691
- Practice address
- 1020 Earley Ave SW
Lakewood, WA 98499 - Phone
- (253) 583-5360
- NPI assigned
- Feb 24, 2026
- Sex
- Female
- Sole proprietor
- No
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 Assistant | 2355S0801X | SP61684691 | WA | Primary |
Addresses
Primary practice location
1020 Earley Ave SW
Lakewood, WA 98499
Mailing address
10903 Gravelly Lake Dr SW # 1
Lakewood, WA 98499-1341
Phone (253) 583-5000
Other practice location 1
9101 Lakewood Dr SW
Lakewood, WA 98499-3901
Phone (253) 583-5340
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
| License | State | Type | Specialty |
|---|---|---|---|
| SP61684691 | WA | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1771891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771891200000",
"number": "1871447136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10903 GRAVELLY LAKE DR SW # 1",
"city": "LAKEWOOD",
"state": "WA",
"postal_code": "984991341",
"telephone_number": "253-583-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1020 EARLEY AVE SW",
"city": "LAKEWOOD",
"state": "WA",
"postal_code": "98499",
"telephone_number": "253-583-5360"
}
],
"practiceLocations": [
{
"address_1": "9101 Lakewood Dr SW",
"address_purpose": "LOCATION",
"city": "Lakewood",
"state": "WA",
"postal_code": "984993901",
"country_code": "US",
"telephone_number": "253-583-5340",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HENDERSON",
"first_name": "JENNIFER",
"middle_name": "LOUISE",
"credential": "SLPA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-02-24",
"last_updated": "2026-02-24",
"certification_date": "2026-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "WA",
"license": "SP61684691",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.