Jessica Ross
Individual provider Active NPI Speech-Language Pathologist · Chrisman, IL
NPI 1992345243 · NPPES record last updated Apr 12, 2022
Key facts
- NPI
- 1992345243
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Practice address
- 400 W Washington
Chrisman, IL 61924 - Phone
- (217) 269-2105
- NPI assigned
- Jan 14, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 31
Medicare Care Compare profile
- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Healthpro Heritage Rehab and Fitness LLC
Practice addresses (Care Compare)
650 Lafayette Ave
Terre Haute, IN 47807-1839
Phone (930) 348-1714
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IN, IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220413001083 | IN | Practitioner - Qualified Speech Language Pathologist | 8628464963 | Reassigns benefits to 2 organizations |
| I20220420001882 | IL | Practitioner - Qualified Speech Language Pathologist | 8628464963 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empowerme Rehabilitation Illinois, LLC | Speech-Language Pathologist | Current |
Accepting new patients |
| Empowerme Rehabilitation Illinois, LLC | Speech-Language Pathologist | Current |
Accepting new patients |
| Comprehensive Therapeutics LTD | Speech-Language Pathologist | Current |
Accepting new patients |
| Comprehensive Therapeutics LTD | Speech-Language Pathologist | Current |
Accepting new patients |
| Empowerme Wellness Kansas City, LLC | Speech-Language Pathologist | Current |
Accepting new patients |
| Healthpro Heritage Rehab & Fitness, LLC | Speech-Language Pathologist | Current |
Accepting new patients |
| Empowerme Rehabilitation Illinois, LLC | Speech-Language Pathologist | Current |
Accepting new patients |
| Empowerme Wellness Kansas City, LLC | Current |
Accepting new patients | |
| Healthpro Heritage Rehab & Fitness, LLC | Speech-Language Pathologist | Current |
Accepting new patients |
Locations
1021 W E St
Belleville, IL 62220
Phone (618) 233-2095
480 W Polk Ave
Charleston, IL 61920
Phone (217) 345-4900
7108 Marine Rd
Edwardsville, IL 62025
Phone (618) 706-9759
1015 Oconor Ave
La Salle, IL 61301
Phone (224) 616-5446
3203 E Moores Pike
Bloomington, IN 47401
Phone (812) 269-8220
7900 Rhode Island St
#1504
Merrillville, IN 46410
Phone (219) 649-0625
1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | IL | Yes |
Addresses
Primary practice location
400 W Washington
Chrisman, IL 61924
Mailing address
217 E Washington
Chrisman, IL 61924
Phone (217) 251-0344
Other practice location 1
400 W Washington
Chrisman, IL 61924
Other names
- Jessica Young
Other providers in Chrisman, IL
- Northern Edgar County Amb Ser
- Pleasant Meadows Senior Living LLC
- Valentin Ion Prisecaru
- Madison Taylor Ragsdale
- Rescue One Paramedic Services
- Louwanna Marie Wallace
All providers in Chrisman, IL · Speech-Language Pathologist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 12, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.