Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1457591455 Individual Practitioner Male Practitioner

Jerrold J Jackson , SLP

Speech-Language Pathologist • Irving, TX

Professional Overview & Biography Verified Profile Summary

Jerrold Jackson, SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Irving, TX. Practice services are available at 1231 GREENWAY DR STE 100 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1231 Greenway Dr Ste 100

Irving, TX 75038

Telephone 9728711800
Associated Practice Facility / Clinic
🏢 Fst, Llc Facility NPI 1952602476

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Irving, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.3 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
206 Specialists

Practicing in Irving, TX (17210 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 TX 107746

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
40-4702665 (MI)
Commercial Insurance / Payer ID United Healthcare Insurance
46-31868 (MI)

Secondary Practice Locations

1000 Oakland Dr Fl 3

Kalamazoo, MI 490081282

Phone: 2693877004

Practice Associates & Co-Workers

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

38 Associated Practitioners
Ebony Hartfield

Specialist/Technologist - Speech-Language Assistant

NPI 1003372129
Carolyn Martinez , SLPA

Specialist/Technologist - Speech-Language Assistant

NPI 1033867056

Speech-Language Pathology Assistant

Elizabeth Zanca

Occupational Therapy Assistant

NPI 1033989454
Jessica Moore , COTA

Occupational Therapy Assistant

NPI 1093218430

Certified Occupational Therapy Assistant

Anna Cargile

Speech-Language Pathologist

NPI 1093292955
Lauren Mcgrady

Speech-Language Pathologist

NPI 1124682976

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location July 23, 2018

Registered at 1231 GREENWAY DR STE 100, IRVING, TX 75038 (Tel: 9728711800)

📍
Updated Business Mailing Address July 23, 2018

Registered at 728 BRAY ST, CEDAR HILL, TX 751046058 (Tel: 9728021176)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 23, 2018

Speech-Language Pathologist (License #107746 in TX)

NPI Profile Active March 03, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location March 03, 2009

Registered at 1000 OAKLAND DR FL 3, KALAMAZOO, MI 490081282 (Tel: 2693877004)

📍
Updated Business Mailing Address March 03, 2009

Registered at 1000 OAKLAND DR FL 3, KALAMAZOO, MI 490081282 (Tel: 2693877004)

👤
Provider Name / Credentials Updated March 03, 2009

Recorded as JERROLD JACKSON, SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 03, 2009

Speech-Language Pathologist (License #111111111 in MI)

🟢
Initial NPI Registration & Enumeration March 03, 2009

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: 1457591455
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 03, 2009
Last Update: July 23, 2018
Sole Proprietor: No

Mailing Address

728 Bray St

Cedar Hill, TX 751046058

Phone: 9728021176

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.