Individual provider Active NPI

Samantha Jean Cox, MA, CCC-SLP

  • Speech-Language Pathologist
  • Jackson, MI
National Provider Identifier
1922697457
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7101007338 Issued in MI
Practice address
1001 Laurence Ave
Jackson, MI 49202-2979
Phone
(517) 750-4777
NPI assigned
Jan 11, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2021

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 7101007338 MI Primary

Addresses

Primary practice location

1001 Laurence Ave
Jackson, MI 49202-2979

Mailing address

3181 Sandhill Rd
Mason, MI 48854-9425
Phone (734) 562-8084

Other names 1

  • Samantha Jean French Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210325001205 MI Practitioner - Qualified Speech Language Pathologist 4981011616 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Rehabilitation Alliance IncGroup PAC ID 9133370430, 36 clinicians

Practice addresses (Care Compare)

3181 Sandhill Rd
Mason, MI 48854-9425
Phone (517) 336-6060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
7101007338MIMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
University Rehabilitation Alliance, Inc. Speech-Language Pathologist CurrentSince Feb 1, 2021 Accepting new patients

Locations

137 S Marketplace Blvd
Lansing, MI 48917
Phone (517) 336-6060

3181 Sandhill Rd
Mason, MI 48854
Phone (517) 336-6060

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1610323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1922697457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3181 SANDHILL RD",
            "city": "MASON",
            "state": "MI",
            "postal_code": "488549425",
            "telephone_number": "734-562-8084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 LAURENCE AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492022979",
            "telephone_number": "517-750-4777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COX",
        "first_name": "SAMANTHA",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-11",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101007338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "FRENCH",
            "middle_name": "JEAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jackson, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; 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.