MRS. LARA ILYSSE JACOBS (NPI# 1225587686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225587686 |
| Entity Type | Individual |
| Full Name | MRS. LARA ILYSSE JACOBS |
| Credential | MS, CCC-SLP |
| Practice Address |
23 Hoffman St Maplewood NJ 07040-1113 |
| Practice Telephone | 2128516231 |
| Mailing Telephone | 2128516231 |
| Enumeration Date | 2016-09-27 |
| Last Update Date | 2016-09-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 41YS00600100 | NJ | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164021325 | Lara Megan Jacobs | Counselor | 1441 S Westnedge Ave, Kalamazoo, MI 49008-1370 | 2020-10-20 |
| Street Address |
23 HOFFMAN ST |
| City | MAPLEWOOD |
| State | NJ |
| Zip Code | 07040-1113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538654462 | Ajibola G Alli | Counselor | 15 Hausmann Ct Fl 1, Maplewood, NJ 07040 | 2018-06-23 |
| 1487142980 | Monica Goodrich | Student in an Organized Health Care Education/Training Program | Winchester Gardens, 333 Elmwood Ave, Maplewood, NJ 07040 | 2018-04-30 |
| 1487173795 | Jessica M Hodge | Marriage & Family Therapist | 35 Marie Place, Maplewood, NJ 07040 | 2017-09-18 |
| 1386173797 | Marianne Nadine Rubino | Social Worker | 111 Dunnell Road, Suite 201-8, Maplewood, NJ 07040 | 2017-06-08 |
| 1629504881 | Krishna Surapaneni | Pharmacist | 747 Irvington Avenue, Maplewood, NJ 07040 | 2017-05-10 |
| 1548717143 | Mindset Psychotherapy Center | Social Worker | 2040 Millburn Ave. Suite 205, Maplewood, NJ 07040 | 2016-09-01 |
| 1588010888 | Rochelle Laverne Brunson | Massage Therapist | 2130 Millburn Ave., Suite C8, Maplewood, NJ 07040 | 2016-05-05 |
| 1881082774 | Perry Grossman | Physical Medicine & Rehabilitation | 137 Parker Avenue, Maplewood, NJ 07040 | 2014-12-31 |
| 1124436746 | Karen Reckson | Specialist | 24 Beach Place, Maplewood, NJ 07040 | 2014-07-28 |
| 1427462670 | Appetite for Health | Dietitian, Registered | 94 Claremont Ave, Maplewood, NJ 07040 | 2014-06-16 |
| Find all providers in zip 07040 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285250803 | Caitlin Lennox | Speech-Language Pathologist | 19 Overlook Ter, Maplewood, NJ 07040-3607 | 2020-06-19 |
| 1497316632 | Anna Rose Morris | Speech-Language Pathologist | 2395 Ariel St N Ste B, Maplewood, MN 55109-2248 | 2019-06-27 |
| 1215475678 | Jessica Susan Kuehlwein | Speech-Language Pathologist | 2218 Beam Ave, Maplewood, MN 55109-1404 | 2017-02-06 |
| 1992175418 | Amy Marie Lafleur | Speech-Language Pathologist | 483 Valley St, Apt 2l, Maplewood, NJ 07040-1385 | 2015-09-26 |
| 1811238371 | Leah D Ferencz | Speech-Language Pathologist | 2 Saint Lawrence Ave, Maplewood, NJ 07040-1118 | 2013-03-08 |
| 1457602153 | Rachel Goldman | Speech-Language Pathologist | 25 Clinton Ave, Maplewood, NJ 07040-2128 | 2012-09-21 |
| 1295051753 | Jill Kathleen Barker | Speech-Language Pathologist | 7323 Gayola Pl, Maplewood, MO 63143-2205 | 2010-04-08 |
| 1821237538 | Kylee Williamson | Speech-Language Pathologist | 1060 Sterling St N, Maplewood, MN 55119-3611 | 2009-02-19 |
| 1881852341 | Robin Scheib | Speech-Language Pathologist | 28 Berkshire Rd, Maplewood, NJ 07040-1430 | 2008-05-30 |
| 1053505990 | Cynthia Louise Mcclurg | Speech-Language Pathologist | 7281 Sarah St, Maplewood, MO 63143-2404 | 2007-09-04 |
| Find all providers in MAPLEWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.