Individual provider Active NPI

Julia Kaye Mohn, M.A, CCC-SLP

  • Speech-Language Pathologist
  • Stafford, VA
National Provider Identifier
1972279149
Registry record updated Dec 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2202010124 Issued in VA
Practice address
100 Wood Dr
Stafford, VA 22556-1838
Phone
(540) 658-6240
NPI assigned
Aug 18, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2204000550 VA
Speech-Language Pathologist 235Z00000X 2202010124 VA Primary

Addresses

Primary practice location

100 Wood Dr
Stafford, VA 22556-1838

Mailing address

14060 Big Crest LN Apt 305
Woodbridge, VA 22191-5537
Phone (484) 663-4746

Other practice location 1

2135 Mountain View Rd
Stafford, VA 22556-6411
Phone (540) 658-6840

Other practice location 2

1700 Courthouse Rd
Stafford, VA 22554-5409
Phone (540) 658-6080

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 Arts

State licenses

LicenseStateTypeSpecialty
2202010124VAMDSpeech-Language Pathologist
2204000550VAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1629244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639008000000",
    "number": "1972279149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14060 BIG CREST LN APT 305",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221915537",
            "telephone_number": "484-663-4746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WOOD DR",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225561838",
            "telephone_number": "540-658-6240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2135 Mountain View Rd",
            "address_purpose": "LOCATION",
            "city": "Stafford",
            "state": "VA",
            "postal_code": "225566411",
            "country_code": "US",
            "telephone_number": "540-658-6840",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1700 Courthouse Rd",
            "address_purpose": "LOCATION",
            "city": "Stafford",
            "state": "VA",
            "postal_code": "225545409",
            "country_code": "US",
            "telephone_number": "540-658-6080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOHN",
        "first_name": "JULIA",
        "middle_name": "KAYE",
        "credential": "M.A, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-18",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2204000550",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202010124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stafford, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2021; 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.