Jennifer Elizabeth Mara, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

15295 Issued in FL

Practice address

310 Idyllwilde Dr
Sanford, FL 32771-5604

Phone

(407) 452-9298

NPI assigned

Jan 4, 2016

Last updated

Sep 4, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jarzt201480@orlandohealth.medalliesdirect.net

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.

• Jennifer Arzt Inc

  dba Sprout Therapies Inc

  • Hearing and Speech Clinic/Center
  • Kissimmee, FL
  • NPI 1396230256
  NPD
• Orlando Health, Inc.

  • General Acute Care Hospital
  • Orlando, FL
  • NPI 1184709057
  NPD

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

{
    "created_epoch": "1451865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1942666193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 IDYLLWILDE DR FL 32771",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327715604",
            "telephone_number": "407-452-9298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 IDYLLWILDE DR",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327715604",
            "telephone_number": "407-452-9298"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1733 Lakemont Ave Apt 101",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328146350",
            "country_code": "US",
            "telephone_number": "407-452-9298",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9465 Wickham Way",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328365521",
            "country_code": "US",
            "telephone_number": "407-452-9298",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4680 Lake Underhill Rd",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "32807",
            "country_code": "US",
            "telephone_number": "407-852-3300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARA",
        "first_name": "JENNIFER",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-04",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "15295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bhupinder S Mangat, M.D.
• Ashleigh Mann, NP-C
• Jeanina Mann
• Melissa Mann
• Theresa Laura Mantle, ARNP
• Claudine Marcelin
• Ronald Michael Marini, D.M.D.
• Gary Marion Sr., LICENSED PRAC. NURSE
• Caitlyn Anne Marks, PT
• Lucia Marquez Montiel

• Speech-Language Pathologist in Sanford, FL
• Providers in Sanford, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.