Active NPI
Jennifer E Igo Coogan, M.S. CCC-SLP
- Speech-Language Pathologist
- Guilford, CT
National Provider Identifier
1962767434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 12086609
- Practice address
- 725 Boston Post Rd
Guilford, CT 06437-2736 - Phone
- (860) 857-5887
- NPI assigned
- Jul 10, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 12086609 | CT | Primary |
Addresses
Primary practice location
725 Boston Post Rd
Guilford, CT 06437-2736
Mailing address
56 Glenwood Road
Clinton, CT 06413
Phone (860) 857-5887
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003742 | Other | CT | DEPARTMENT OF PUBLIC HEALTH |
| 12086609 | Other | CT | AMERICAN SPEECH AND HEARING ASSOCIATION |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12086609 | CT | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341878400000",
"number": "1962767434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "56 GLENWOOD ROAD",
"city": "CLINTON",
"state": "CT",
"postal_code": "06413",
"telephone_number": "860-857-5887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 BOSTON POST RD",
"city": "GUILFORD",
"state": "CT",
"postal_code": "064372736",
"telephone_number": "860-857-5887"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IGO COOGAN",
"first_name": "JENNIFER",
"middle_name": "E",
"name_prefix": "Mrs.",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-07-10",
"last_updated": "2012-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CT",
"license": "12086609",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPARTMENT OF PUBLIC HEALTH",
"identifier": "003742",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN SPEECH AND HEARING ASSOCIATION",
"identifier": "12086609",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Guilford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.