Active NPI
Jessica Elizabeth Hogan, M.S., CCC-SLP
- Speech-Language Pathologist
- Greeley, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 0001175
- Practice address
- 1931 65TH Ave Ste C
Greeley, CO 80634-7946 - Phone
- (970) 702-2507
- NPI assigned
- Jan 22, 2009
- Last updated
- Feb 15, 2020
- 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 Pathologist | 235Z00000X | 0001175 | CO | Primary |
Addresses
Primary practice location
1931 65TH Ave Ste C
Greeley, CO 80634-7946
Mailing address
4632 Echo Cir
Fort Collins, CO 80526-4568
Phone (617) 448-5633
Other practice location 1
1136 E Stuart St Ste 3120
Fort Collins, CO 80525-1196
Phone (970) 682-3743
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0001175 | Other | CO | DORA |
| 12067828 | Other | MA | AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1730 S College Ave
Suite 301
Fort Collins, CO 80525-1073
Phone (970) 900-6930
1931 65TH Ave
Suite C
Greeley, CO 80634-7946
Phone (970) 702-2507
4650 Royal Vista Cir
Suite 100
Windsor, CO 80528-9321
Phone (970) 305-5070
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0001175 | CO | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Therapy Group LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Summit Therapy Group LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Summit Occupational Therapy LLC | Current | Accepting new patients | |
| Summit Therapy Group LLC | Speech-Language Pathologist | Current | Accepting new patients |
Locations
1730 S College Ave
Ste 301
Fort Collins, CO 80525
Phone (907) 658-5777
1931 65th Ave
Ste C
Greeley, CO 80634
Phone (970) 352-1877
4650 Royal Vista Cir
Windsor, CO 80528
Phone (970) 305-5070
4650 Royal Vista Cir
Ste 100
Windsor, CO 80528
Phone (970) 305-5070
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Speech-Language Pathologist
- Timnath, CO
- NPI 1902488018
-
- Occupational Therapist
- Fort Collins, CO
- NPI 1619766441
-
- Speech-Language Pathologist
- Fort Collins, CO
- NPI 1083484232
-
- Speech-Language Pathologist
- Greeley, CO
- NPI 1437782729
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581724800000",
"number": "1881832392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4632 ECHO CIR",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805264568",
"telephone_number": "617-448-5633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1931 65TH AVE STE C",
"city": "GREELEY",
"state": "CO",
"postal_code": "806347946",
"telephone_number": "970-702-2507"
}
],
"practiceLocations": [
{
"address_1": "1136 E Stuart St Ste 3120",
"address_purpose": "LOCATION",
"city": "Fort Collins",
"state": "CO",
"postal_code": "805251196",
"country_code": "US",
"telephone_number": "970-682-3743",
"fax_number": "970-460-8708",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOGAN",
"first_name": "JESSICA",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-22",
"last_updated": "2020-02-15",
"certification_date": "2020-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CO",
"license": "0001175",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DORA",
"identifier": "0001175",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION",
"identifier": "12067828",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greeley, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.