Jennifer Kirstin Daniels, M.A., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP. 11414 Issued in OH

Practice address

3680 Dolson CT
Carroll, OH 43112-9721

Phone

(740) 654-0641

NPI assigned

Mar 2, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Miss Jennifer Kirstin Mondelli Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1425254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433980800000",
    "number": "1881086700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1865 HARD RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432355928",
            "telephone_number": "419-438-0820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3680 DOLSON CT",
            "city": "CARROLL",
            "state": "OH",
            "postal_code": "431129721",
            "telephone_number": "740-654-0641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "JENNIFER",
        "middle_name": "KIRSTIN",
        "name_prefix": "Mrs.",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-02",
        "last_updated": "2015-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP. 11414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO BOARD OF SPEECH LANGUAGE PATHOLOGY AND AUDIOLOGY",
            "identifier": "SP. 11414",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHA CERTIFICATE OF CLINICAL COMPETENCE",
            "identifier": "14054472",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "MONDELLI",
            "middle_name": "KIRSTIN",
            "prefix": "MISS",
            "credential": "M.A., CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rebekah Bower
• Kim Brown, INDIVIDUAL PROVIDER
• Marcus Brown
• Carroll Opco, LLC (Arbors at Carroll)
• Jodie Sue Conrad, OTRL
• Shala Daniels, COTA/L
• Candy Dannemiller
• Alison Dawson
• Michelle Dennis, PTA
• Jessica Dodds, M.A. CCC-SLP

• Speech-Language Pathologist in Carroll, OH
• Providers in Carroll, OH by specialty
• Speech-Language Pathologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2015; 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.