11512 Lake Mead Ave., Suite 604, Jacksonville, FL 32256
Phone
(904) 652-5408
Listed under
Speech therapy practices
NPI
1568614642
NPI status
Active in the NPPES registry
Provider type
Organization (practice, clinic or company)
Registered specialty (self-reported taxonomy)
Speech-Language Pathologist (235Z00000X)
License number on NPI record
SA5968 (FL)
Authorized official
Jessica Otto, Owner/director
NPI first issued
Oct 21, 2008
NPI record last updated
Mar 23, 2015
NPI 1568614642 is active in the federal NPPES registry (CMS); license SA5968 (FL) is listed on the record. Source: NPPES NPI Registry (CMS) (record). Data as of 2026-09-30.
What these registry facts mean
The NPI (National Provider Identifier) is the federal ID every HIPAA-covered provider uses to bill insurance. This NPI belongs to an organization, so it may cover several clinicians at this location. The specialty is the taxonomy the provider chose when registering; NPPES does not check it. A license number here is what the provider entered — confirm it with the state board before you rely on it. Speech-language pathologists (SLPs) evaluate and treat speech sounds, language, stuttering, voice, and feeding and swallowing. Ask whether the clinic treats children and which ages.
Checking a license: the number above is what the provider entered in the NPI registry. Your state licensing board's lookup shows whether it is current. For individual therapists, ASHA (speech) and NBCOT (occupational therapy) let you verify national certification.