Active NPI
Jessica Ann Rosen, MS, CCC-SLP
- Speech-Language Pathologist
- Bonita Springs, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA12231
- 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
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 | 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
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| SA12231 | FL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Speech-Language Pathologist
- Naples, FL
- NPI 1194232561
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.