Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1649637356 Individual Practitioner Female Practitioner

Danielle Jackson

Speech-Language Pathologist • Mesa, AZ

Professional Overview & Biography Verified Profile Summary

Danielle Jackson is a registered healthcare professional specializing in Speech-Language Pathologist in Mesa, AZ. Practice services are available at 2150 S COUNTRY CLUB DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2150 S Country Club Dr
Suite 20

Mesa, AZ 852106809

Telephone 4803984280
Fax 4803984281
Associated Practice Facility / Clinic
🏢 Piller Child Development Llc Facility NPI 1497087621

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: 2026-04-21
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License AZ SLP9811

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 AZ TSLP9811

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

40 Associated Practitioners
Samuel Reynoso

Specialist/Technologist - Speech-Language Assistant

NPI 1043036213
Sadie Anderson

Occupational Therapist

NPI 1063193910
Amanda Skrtich , COTA, L

Occupational Therapy Assistant

NPI 1073269064

Certified Occupational Therapy Assistant, L

Rebecca Bugg

Occupational Therapy Assistant

NPI 1083098313
Dr. Kelly Maki , OTD, OTR, L

Occupational Therapist

NPI 1083138689

Doctor of Occupational Therapy, Occupational Therapist Registered, L

Kelsey Fenn , SLP

Speech-Language Pathologist

NPI 1093121832

Speech-Language Pathologist

Career & Practice History Timeline

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

8 Historical Events
👤
Provider Name / Credentials Updated April 21, 2026

Recorded as DANIELLE JACKSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 21, 2026

Speech-Language Pathologist (License #SLP9811 in AZ)

NPI Profile Active January 26, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location January 26, 2016

Registered at 2150 S COUNTRY CLUB DR, SUITE 20, MESA, AZ 852106809 (Tel: 4803984280)

📍
Updated Business Mailing Address January 26, 2016

Registered at PO BOX 50218, PHOENIX, AZ 850760218 (Tel: 4803984280)

👤
Provider Name / Credentials Updated January 26, 2016

Recorded as DANIELLE SAMUELS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 26, 2016

Speech-Language Pathologist (License #TSLP9811 in AZ)

🟢
Initial NPI Registration & Enumeration January 26, 2016

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: 1649637356
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 26, 2016
Last Update: April 21, 2026
Sole Proprietor: Yes

Mailing Address

Po Box 50218

Phoenix, AZ 850760218

Phone: 4803984280

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.