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Sarah Moore

Speech-Language Pathologist β€’ Jackson, MI

Active NPI 1104475276 Individual Practitioner Female Practitioner
Practice location in NPPES

1001 Laurence Ave
Jackson, MI 492022979

Call 5177504777 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

1001 Laurence Ave

Jackson, MI 492022979

Telephone 5177504777
Fax 5177824717
Organization at the Same NPPES Address or Phone
Active Care Chiropractic Inc Facility NPI 1629180302

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

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 Jackson and Michigan

55 active clinicians are listed under Speech-Language Pathologist with a practice address in Jackson, MI (3,736 in Michigan).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Jackson

0% of these 55 clinicians have the CMS telehealth indicator.

3.6% of these 55 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: 2022-03-22
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES MI 7152000076

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.

Behavior Technician

NUCC Taxonomy Code: 106S00000X

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

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: Michigan Department of Licensing and Regulatory Affairs.
Look Up on State Board Site

Career & Practice History Timeline

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

9 Historical Events
πŸ“
Updated Practice Location March 22, 2022

Registered at 1001 LAURENCE AVE, JACKSON, MI 492022979 (Tel: 5177504777)

πŸ“
Updated Business Mailing Address March 22, 2022

Registered at 1001 LAURENCE AVE, JACKSON, MI 492022979 (Tel: 5177824717)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 22, 2022

Speech-Language Pathologist (license number reported to NPPES: MI 7152000076)

βœ…
NPI Profile Active September 10, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 10, 2019

Registered at 2500 PACKARD ST STE 206, ANN ARBOR, MI 481046827 (Tel: 2693219556)

πŸ“
Business Mailing Address (Initial Record) September 10, 2019

Registered at 526 W CENTRE AVE, PORTAGE, MI 490245306

πŸ‘€
Provider Name / Credentials (Initial Record) September 10, 2019

Recorded as SARAH MOORE

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 10, 2019

Behavior Technician

🟒
Initial NPI Registration & Enumeration September 10, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1104475276
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 10, 2019
Last Update: March 22, 2022
Sole Proprietor: No

Mailing Address

1001 Laurence Ave

Jackson, MI 492022979

Phone: 5177824717

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.