Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1710490859 Individual Practitioner Female Practitioner

Lynette Jensen , MED, CCC-SLP

Speech-Language Pathologist • Villa Rica, GA

Professional Overview & Biography Verified Profile Summary

Lynette Jensen, MED, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Villa Rica, GA. Practice services are available at 112 THREE WEST PKWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

112 Three West Pkwy

Villa Rica, GA 301804778

Telephone 7704596533
Fax 7704621260
Associated Practice Facility / Clinic
🏢 Rgs Holdings, Inc Facility NPI 1215069802

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Villa Rica, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
17 Specialists

Practicing in Villa Rica, GA (4796 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: 2026-06-25
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License GA SLP009601

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.

Practice Associates & Co-Workers

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

22 Associated Practitioners
Linda Palmer , OTR, L

Occupational Therapist

NPI 1003212689

Occupational Therapist Registered, L

Ashley Lawrence , OTR, L

Occupational Therapist

NPI 1063139343

Occupational Therapist Registered, L

Mary Horsley , MEDCCC-SLP

Speech-Language Pathologist

NPI 1063266948

MEDCCCSLP

Kensey Smith , OTA

Occupational Therapist - Pediatrics

NPI 1104333723
Abby Neighbors

Occupational Therapy Assistant

NPI 1134005119
Johanna Bozeman , MED, CCC-SLP

Speech-Language Pathologist

NPI 1154052041

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

Career & Practice History Timeline

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

9 Historical Events
👤
Provider Name / Credentials Updated June 25, 2026

Recorded as LYNETTE JENSEN, M.ED., CCC-SLP

📍
Updated Practice Location July 24, 2024

Registered at 112 THREE WEST PKWY, VILLA RICA, GA 301804778 (Tel: 7704689533)

📍
Updated Business Mailing Address July 24, 2024

Registered at 112 THREE WEST PKWY, VILLA RICA, GA 301804778 (Tel: 7704596533)

NPI Profile Active November 11, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location November 11, 2017

Registered at 127 SUMMER ST, ADAIRSVILLE, GA 301032956 (Tel: 7708779105)

📍
Updated Business Mailing Address November 11, 2017

Registered at 127 SUMMER ST, ADAIRSVILLE, GA 301032956 (Tel: 7708779105)

👤
Provider Name / Credentials Updated November 11, 2017

Recorded as LYNETTE JENSEN, CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 11, 2017

Speech-Language Pathologist (License #SLP009601 in GA)

🟢
Initial NPI Registration & Enumeration November 11, 2017

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: 1710490859
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 11, 2017
Last Update: June 25, 2026
Sole Proprietor: Yes

Mailing Address

112 Three West Pkwy

Villa Rica, GA 301804778

Phone: 7704596533

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.