Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1619533866 Individual Practitioner Female Practitioner

Jill Pedersen , MA, CCC-SLP

Speech-Language Pathologist • Lockport, NY

Professional Overview & Biography Verified Profile Summary

Jill Pedersen, MA, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Lockport, NY. Practice services are available at 6395 OLD NIAGARA RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6395 Old Niagara Rd

Lockport, NY 140941421

Telephone 6262605450
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Lockport, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
31 Specialists

Practicing in Lockport, NY (25106 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

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License NY 028729

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

36 Associated Practitioners
Mickey Boucher , LMSW

Social Worker - Clinical

NPI 1033638564

Licensed Master Social Worker

Lene'e Gray

Social Worker

NPI 1043187412
Sherrie Stahl , MS, CAS

Psychologist - School

NPI 1043676141

Master of Science, CAS

NPI 1063114023

Doctor of Philosophy (Ph.D.)

Janet Babcock

Speech-Language Pathologist

NPI 1063721181
Alexa Lasher-Warren

Peer Specialist

NPI 1073476115

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active May 14, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location May 14, 2019

Registered at 6395 OLD NIAGARA RD, LOCKPORT, NY 140941421 (Tel: 6262605450)

📍
Updated Business Mailing Address May 14, 2019

Registered at 8289 OLD POST RD E, EAST AMHERST, NY 140511584 (Tel: 6262605450)

👤
Provider Name / Credentials Updated May 14, 2019

Recorded as JILL PEDERSEN, MA, CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 14, 2019

Speech-Language Pathologist (License #028729 in NY)

🟢
Initial NPI Registration & Enumeration May 14, 2019

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: 1619533866
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 14, 2019
Last Update: May 14, 2019
Sole Proprietor: No

Mailing Address

8289 Old Post Rd E

East Amherst, NY 140511584

Phone: 6262605450

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.