Jecely Manfoste

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

SLPA13902 Issued in AZ

Practice address

6910 S Highland Dr Ste 1
Cottonwood Heights, UT 84121-3061

Phone

(801) 935-4171

Fax

(801) 935-4946

NPI assigned

Jun 7, 2021

Last updated

Apr 21, 2023By the provider in NPPES

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Abs Utah, P.C.

  • Community/Behavioral Health Agency
  • Salt Lake City, UT
  • NPI 1053821728
  NPD (past)
• Alternative Behavior Strategies, LLC

  dba ABS Kids

  • Community/Behavioral Health Agency
  • Rancho Cucamonga, CA
  • NPI 1962765693
  NPD (past)

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

{
    "created_epoch": "1623024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682035200000",
    "number": "1912574211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5450 E MCLELLAN RD UNIT 210",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852053459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6910 S HIGHLAND DR STE 1",
            "city": "COTTONWOOD HEIGHTS",
            "state": "UT",
            "postal_code": "841213061",
            "telephone_number": "801-935-4171",
            "fax_number": "801-935-4946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANFOSTE",
        "first_name": "JECELY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-07",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AZ",
            "license": "SLPA13902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly Major-Yeh, L.C.S.W.
• Courtnee Nadine Malan, MD
• Shawna Lee Malcolm, L.P.C.
• Taylor Malmborg
• Dallin Blaine Mandel
• Kelly A Mangrum, D.D.S.
• Dave Mangum, CMHC
• Ashley Jane Mann
• Jessica Xaiz Mann, LCSW
• Benjamin James Marden

• Speech-Language Assistant in Cottonwood Heights, UT
• Providers in Cottonwood Heights, UT by specialty
• Speech-Language Assistant in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2023; 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.