Jessica Terrell, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

30001654 Issued in NC

Practice address

115 Unionville Indian Trail Rd W Ste E2
Indian Trail, NC 28079-5583

Phone

(704) 218-9320

NPI assigned

May 10, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Building Blocks Speech and Language Therapy, PLLC

  • Speech-Language Pathologist
  • Indian Trail, NC
  • NPI 1578314753
  NPD Authorized official

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

{
    "created_epoch": "1683676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1992495139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "484 WILLIAMSON RD # 102",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178191",
            "telephone_number": "631-560-9118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 UNIONVILLE INDIAN TRAIL RD W STE E2",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280795583",
            "telephone_number": "704-218-9320"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "484 Williamson Rd # 102",
            "address_purpose": "LOCATION",
            "city": "Mooresville",
            "state": "NC",
            "postal_code": "281178191",
            "country_code": "US",
            "telephone_number": "704-746-9698",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TERRELL",
        "first_name": "JESSICA",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-10",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "30001654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Scott Swiggum, PT
• Tania Tablinsky, MPT
• Talk Time Therapy, Inc.
• Leigh Ann Zimmerman Tasillo, PSY. D.
• Joseph J Tedesco, DPT, ATC, CSCS
• The Art of Healing Physical Therapy & Rehabilitation Center LLC
• The Intentional Mind Counseling Services, P.L.L.C
• Samantha Kaye Thomas, M. ED.
• Carrie Virginia Thompson, M. ED., CCC-SLP
• Timothy Ryan Tiberia

• Speech-Language Pathologist in Indian Trail, NC
• Providers in Indian Trail, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; 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.