Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1780090902 Individual Practitioner Female Practitioner

Jessica Lynn Smith , MA CCC-SLP

Speech-Language Pathologist • Mesa, AZ

Professional Overview & Biography Verified Profile Summary

Jessica Smith, MA CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Mesa, AZ. Practice services are available at 108 W UNIVERSITY DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

108 W University Dr

Mesa, AZ 852015818

Telephone 4806681917
Associated Practice Facility / Clinic
🏢 Therapy One, Pllc Facility NPI 1316163884

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Mesa, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.7 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
429 Specialists

Practicing in Mesa, AZ (4584 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-08-10
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License AZ SLP8934

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
929356 (AZ)

Secondary Practice Locations

3498 Green Valley Rd

Rescue, CA 956729625

Phone: 5303918670

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

21 Associated Practitioners
Lauren Mead , MA, CCC-SLP

Speech-Language Pathologist

NPI 1013494095

Master of Arts, Speech-Language Pathologist (Certificate of Clinical Competence)

Iman Johnson , OTR, L

Occupational Therapist

NPI 1023330248

Occupational Therapist Registered, L

Nathan Richardson , CCC-SLP

Speech-Language Pathologist

NPI 1033404397

Speech-Language Pathologist (Certificate of Clinical Competence)

Brenda Del Monte , MA, CCC-SLP

Speech-Language Pathologist

NPI 1033496468

Master of Arts, Speech-Language Pathologist (Certificate of Clinical Competence)

Cassandra Dechant , CCC-SLP

Speech-Language Pathologist

NPI 1295276855

Speech-Language Pathologist (Certificate of Clinical Competence)

Lauren Dill

Speech-Language Pathologist

NPI 1356236111

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location August 10, 2025

Registered at 108 W UNIVERSITY DR, MESA, AZ 852015818 (Tel: 4806681917)

📍
Updated Business Mailing Address August 10, 2025

Registered at 8137 E JACOB DR, NAMPA, ID 836879192 (Tel: 9162085278)

👤
Provider Name / Credentials Updated August 10, 2025

Recorded as JESSICA SMITH, M.A. CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 10, 2025

Speech-Language Pathologist (License #SLP8934 in AZ)

NPI Profile Active July 08, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2014

Registered at 16815 S DESERT FOOTHILLS PKWY, SUITE 126, PHOENIX, AZ 850488401 (Tel: 4807045954)

📍
Updated Business Mailing Address July 08, 2014

Registered at 2255 W GERMANN RD, #1052, CHANDLER, AZ 852867101

👤
Provider Name / Credentials Updated July 08, 2014

Recorded as JESSICA DEMARTA, M.A.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2014

Speech-Language Pathologist (License #TSLP8934 in AZ)

🟢
Initial NPI Registration & Enumeration July 08, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1780090902
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 08, 2014
Last Update: August 10, 2025
Sole Proprietor: No

Mailing Address

8137 E Jacob Dr

Nampa, ID 836879192

Phone: 9162085278

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.