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Jacqueline Fuentes , CCC-SLP

Speech-Language Pathologist β€’ Brookline, MA

Active NPI 1669027447 Individual Practitioner Female Practitioner
Practice location in NPPES

1731 Beacon St Apt 704
Brookline, MA 024455326

Call 8458574953 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1731 Beacon St Apt 704

Brookline, MA 024455326

Telephone 8458574953

NPI first issued

2019

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Brookline and Massachusetts

65 active clinicians are listed under Speech-Language Pathologist with a practice address in Brookline, MA (3,982 in Massachusetts).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Brookline

0% of these 65 clinicians have the CMS telehealth indicator.

1.5% of these 65 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-11-04
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES MA 78260

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

License # reported to NPPES NY 030372

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Massachusetts Board of Registration in Medicine.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

12 Historical Events
πŸ“
Updated Practice Location November 04, 2022

Registered at 1731 BEACON ST APT 704, BROOKLINE, MA 024455326 (Tel: 8458574953)

πŸ“
Updated Business Mailing Address November 04, 2022

Registered at 1731 BEACON ST APT 704, BROOKLINE, MA 024455326 (Tel: 8458574953)

πŸ‘€
Provider Name / Credentials Updated November 04, 2022

Recorded as JACQUELINE FUENTES, CCC-SLP

πŸ“
Updated Practice Location February 03, 2021

Registered at 6 SPENCER LN, STONY BROOK, NY 117903123 (Tel: 8458574953)

πŸ‘€
Provider Name / Credentials Updated February 03, 2021

Recorded as JACQUELINE FUENTES, CCC/SLP, TSSLD-BE

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 03, 2021

Speech-Language Pathologist (license number reported to NPPES: NY 030372)

βœ…
NPI Profile Active August 07, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 07, 2019

Registered at 299 HALLOCK AVE, PORT JEFF STA, NY 117761217 (Tel: 6314734284)

πŸ“
Business Mailing Address (Initial Record) August 07, 2019

Registered at PO BOX 4303, STONY BROOK, NY 117900906 (Tel: 8458574953)

πŸ‘€
Provider Name / Credentials (Initial Record) August 07, 2019

Recorded as JACQUELINE FUENTES

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 07, 2019

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration August 07, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1669027447
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 07, 2019
Last Update: November 04, 2022
Sole Proprietor: Yes

Mailing Address

1731 Beacon St Apt 704

Brookline, MA 024455326

Phone: 8458574953

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.