Melissa Marie Cober

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

242.001399 Issued in IL

Practice address

3695 Emmet PL
Langley, WA 98260-8012

Phone

(630) 880-0038

NPI assigned

Nov 11, 2009

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 names 1

• Ms. Melissa Marie Jardeleza Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Everbloom Therapy PLLC

  • Speech-Language Pathologist
  • Langley, WA
  • NPI 1083443394
  NPD

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

{
    "created_epoch": "1257897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723334400000",
    "number": "1881921807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3695 EMMET PL",
            "city": "LANGLEY",
            "state": "WA",
            "postal_code": "982608012",
            "telephone_number": "630-880-0038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3695 EMMET PL",
            "city": "LANGLEY",
            "state": "WA",
            "postal_code": "982608012",
            "telephone_number": "630-880-0038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBER",
        "first_name": "MELISSA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-11",
        "last_updated": "2024-08-11",
        "certification_date": "2024-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "242.001399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "JARDELEZA",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Carrie Pope, MSW, Licsw, PLLC
• Ashley Marie Cerny, ARNP
• Diana Lynn Chamrad, PHD
• Chiropractic Zone Inc PS
• Chris J. Porter Counseling, PLLC
• Joseph Robert Colella, OD
• Brittany Mimosa Mae Collins, RD
• Continuum Women'S Therapy
• Ashley Lynne Crawford, PSYD
• Flynt E Davies, OD

• All providers in Langley, WA
• Speech-Language Pathologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2024; 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.