Individual provider Active NPI

Jennifer Margarethe Lemkes, MS, CCC-SLP

  • Speech-Language Pathologist
  • Greenville, SC
National Provider Identifier
1952857112
Registry record updated Aug 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
4659 Issued in SC
Practice address
11 E Augusta PL
Greenville, SC 29605-1755
Phone
(864) 916-0203
NPI assigned
Aug 28, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2016

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 4659 SC Primary

Addresses

Primary practice location

11 E Augusta PL
Greenville, SC 29605-1755

Mailing address

11 E Augusta PL
Greenville, SC 29605-1755
Phone (864) 916-0203

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200204001072 SC Practitioner - Qualified Speech Language Pathologist 9830525278 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Integrated Therapy Centers LLCGroup PAC ID 3274552716, 51 clinicians

Practice addresses (Care Compare)

1007 Grove Rd
Suite a
Greenville, SC 29605-4630
Phone (864) 233-5128

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4659SCMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Integrated Therapy Centers, LLC CurrentSince Nov 18, 2019 Accepting new patients
Southland Therapy Services, Inc Past Accepting new patients

Locations

2005 E Greenville St
Ste 119
Anderson, SC 29621
Phone (864) 512-7023

1007 Grove Rd
#A
Greenville, SC 29605

1007 Grove Rd
#C
Greenville, SC 29605

Organizations & group practices 2

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": "1472342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472342400000",
    "number": "1952857112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 E AUGUSTA PL",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296051755",
            "telephone_number": "864-916-0203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 E AUGUSTA PL",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296051755",
            "telephone_number": "864-916-0203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMKES",
        "first_name": "JENNIFER",
        "middle_name": "MARGARETHE",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-28",
        "last_updated": "2016-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "4659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2016; 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.