Individual provider Active NPI

Jessica Atkins

  • Speech-Language Pathologist
  • Saint Joseph, MI
National Provider Identifier
1942851043
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7101006454 Issued in MI
Practice address
1030 Miners Rd Ste C
Saint Joseph, MI 49085-9709
Phone
(269) 235-9083
Fax
(269) 359-3735
NPI assigned
Sep 20, 2019
Last updated
Feb 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

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 7101006454 MI Primary

Addresses

Primary practice location

1030 Miners Rd Ste C
Saint Joseph, MI 49085-9709

Mailing address

4737 Park Rd
Eau Claire, MI 49111-9426

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260214000745 MI Practitioner - Qualified Speech Language Pathologist 2163832189 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1030 Miners Rd
Suite C
Saint Joseph, MI 49085-9709

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7101006454MIMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sunflower Therapy Centers Inc Speech-Language Pathologist CurrentSince Feb 1, 2026 Accepting new patients

Locations

18853 US Highway 12
Ste 3
New Buffalo, MI 49117
Phone (269) 235-9547

423 Sycamore St
Ste 103
Niles, MI 49120
Phone (269) 351-4082

1030 Miners Rd
Ste C
Saint Joseph, MI 49085
Phone (269) 235-9083

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, 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": "1568937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770681600000",
    "number": "1942851043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4737 PARK RD",
            "city": "EAU CLAIRE",
            "state": "MI",
            "postal_code": "491119426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 MINERS RD STE C",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490859709",
            "telephone_number": "269-235-9083",
            "fax_number": "269-359-3735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATKINS",
        "first_name": "JESSICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-20",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101006454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2026; 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.