Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1023439122 Individual Practitioner Female Practitioner

Jennifer Michelle Green , SLP

Speech-Language Pathologist • Fairview Heights, IL

Professional Overview & Biography Verified Profile Summary

Jennifer Green, SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Fairview Heights, IL. Practice services are available at 212 VALE DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

212 Vale Dr

Fairview Heights, IL 622082541

Telephone 3142401553

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Fairview Heights, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.2 Yrs
Regional Practice Density
14 Specialists

Practicing in Fairview Heights, IL (10321 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: 2023-04-25
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License MO 2013036904

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.

Speech-Language Pathologist

NUCC Taxonomy Code: 235Z00000X

State License IL 146.007577

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.

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location April 25, 2023

Registered at 212 VALE DR, FAIRVIEW HEIGHTS, IL 622082541 (Tel: 3142401553)

📍
Updated Business Mailing Address April 25, 2023

Registered at 212 VALE DR, FAIRVIEW HEIGHTS, IL 622082541 (Tel: 3142401553)

NPI Profile Active December 17, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location December 17, 2013

Registered at 7055 MEXICO ROAD SUITE 1601, ST. PETERS, MO 633769998 (Tel: 6368661341)

📍
Updated Business Mailing Address December 17, 2013

Registered at PO BOX 1601, ST. PETERS, MO 633769998 (Tel: 6368661341)

👤
Provider Name / Credentials Updated December 17, 2013

Recorded as JENNIFER GREEN, SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 17, 2013

Speech-Language Pathologist (License #2013036904 in MO)

🟢
Initial NPI Registration & Enumeration December 17, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1023439122
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 17, 2013
Last Update: April 25, 2023
Sole Proprietor: Yes

Mailing Address

212 Vale Dr

Fairview Heights, IL 622082541

Phone: 3142401553

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.