Individual provider Active NPI

Jessica Elizabeth Hogan, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Greeley, CO
National Provider Identifier
1881832392
Registry record updated Feb 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
0001175 Issued in CO
Practice address
1931 65TH Ave Ste C
Greeley, CO 80634-7946
Phone
(970) 702-2507
NPI assigned
Jan 22, 2009
Last updated
Feb 15, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2020

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 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

IdentifierTypeStateIssuer
0001175OtherCODORA
12067828OtherMAAMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220505002346 CO Practitioner - Qualified Speech Language Pathologist 6103157466 Reassigns benefits to 1 organization

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
Summit Speech Therapy LLCGroup PAC ID 9739566027, 5 clinicians

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

LicenseStateTypeSpecialty
0001175COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Therapy Group LLC Speech-Language Pathologist CurrentSince Feb 1, 2022 Accepting new patients
Summit Therapy Group LLC Speech-Language Pathologist CurrentSince Feb 23, 2020 Accepting new patients
Summit Occupational Therapy LLC Current Accepting new patients
Summit Therapy Group LLC Speech-Language Pathologist CurrentSince Feb 1, 2022 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.

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.

Verify at the official NPI Registry.