Individual provider Active NPI

Jessica Ann Rosen, MS, CCC-SLP

  • Speech-Language Pathologist
  • Bonita Springs, FL
National Provider Identifier
1982905659
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA12231 Issued in FL
Practice address
3384 Woods Edge Cir Ste 104
Bonita Springs, FL 34134
Phone
(239) 249-5292
Fax
(239) 244-3342
NPI assigned
Nov 10, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

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 SA12231 FL Primary

Addresses

Primary practice location

3384 Woods Edge Cir Ste 104
Bonita Springs, FL 34134

Mailing address

16217 Camden Lakes Cir
Naples, FL 34110-2882
Phone (239) 450-7144

Other practice location 1

345 E Superior St
Chicago, IL 60611-2654
Phone (312) 238-1000

Other practice location 2

345 E Superior St
Chicago, IL 60611-2654
Phone (312) 238-1000

Other practice location 3

14700 Tamiami Trl N Ste 1
Naples, FL 34110-6221
Phone (239) 249-5292

Other names 1

  • Jessica Ann Welbel Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Info@mosaictherapyfl.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jun 21, 2018 through Jun 21, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SA12231FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mosaic Therapy Services LLC Speech-Language Pathologist Current Accepting new patients

Locations

3384 Woods Edge Cir
Ste 104
Bonita Springs, FL 34134
Phone (219) 201-0711

14700 Tamiami Trl N
Ste 1
Naples, FL 34110
Phone (219) 201-0711

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1289347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1982905659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16217 CAMDEN LAKES CIR",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341102882",
            "telephone_number": "239-450-7144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3384 WOODS EDGE CIR STE 104",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "34134",
            "telephone_number": "239-249-5292",
            "fax_number": "239-244-3342"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "345 E Superior St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606112654",
            "country_code": "US",
            "telephone_number": "312-238-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "345 E Superior St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606112654",
            "country_code": "US",
            "telephone_number": "312-238-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14700 Tamiami Trl N Ste 1",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341106221",
            "country_code": "US",
            "telephone_number": "239-249-5292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSEN",
        "first_name": "JESSICA",
        "middle_name": "ANN",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-10",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA12231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Info@mosaictherapyfl.com",
            "affiliation": "N",
            "endpointDescription": "Email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "14700 Tamiami Trl N Ste 1",
            "city": "Naples",
            "state": "FL",
            "country_code": "US",
            "postal_code": "341106221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "WELBEL",
            "middle_name": "ANN",
            "credential": "MS CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bonita Springs, FL

Sources for this page

Verify at the official NPI Registry.