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JONELLE EFTHYMIA AGELOPOULOS MS, CF-SLP
NPI 1104671684
Speech-Language Pathologist in San Diego, CA

Active since April 18, 2024
4282 GENESEE AVE STE 102, SAN DIEGO, CA 92117(858) 737-4455 Get Directions Write a Review

NPPES record last updated: April 18, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jonelle Efthymia Agelopoulos Ms, Cf-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JONELLE EFTHYMIA AGELOPOULOS MS, CF-SLP (NPI 1104671684) is an individual speech-language pathologist provider in San Diego, California and active in the NPI registry since April 2024. She is a graduate of Other (2024).

NPPES Registry Identity

NPI1104671684
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameJONELLE EFTHYMIA AGELOPOULOSCredential: MS, CF-SLP
Location Address4282 GENESEE AVE STE 102San Diego, CA 92117-4986
Mailing Address3156 Cowley Way Apt 1San Diego, CA 92117-6524 · (650) 515-6161
Phone(858) 737-4455
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateApril 18, 2024
NPPES CertifiedApril 18, 2024
✔ NPI 1104671684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Definition
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.
4282 GENESEE AVE STE 102, San Diego, CA 92117
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jonelle Efthymia Agelopoulos Ms, Cf-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6709381924
PECOS Enrollment IDI20250926002139

Medicare Billing Reassignment

Medicare enrollment records show Jonelle Agelopoulos reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Advantage Speech Therapy Inc
546 mi
Hearing and Speech
3435 SILVERBELL RD
Chico, CA 95973
  • Reassigned Medicare billing, California enrollment
  • 9 clinicians in this Medicare group
NPI 1164166963 (530) 774-2261

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALEXIS TAYLOR OT
Occupational Therapist (Pediatrics)
4282 GENESEE AVE STE 102
SAN DIEGO, CA 92117
San Diego County (858) 737-4455
KATIE ALLYCE HOLT
Occupational Therapy Assistant
4282 GENESEE AVE STE 102
SAN DIEGO, CA 92117
San Diego County (858) 737-4455
MISS ALYSSA MIKAE IKEDA
Speech-Language Pathologist
4282 GENESEE AVE STE 102
SAN DIEGO, CA 92117
San Diego County (619) 207-0984
KAREN HUANG
Nurse Practitioner (Family)
4282 GENESEE AVE STE 102
SAN DIEGO, CA 92117
San Diego County (858) 598-6789
KATHLEEN WENZLICK SLP
Speech-Language Pathologist
4282 GENESEE AVE STE 102
SAN DIEGO, CA 92117
San Diego County (619) 207-0984
RAQUEL HERNANDEZ
Specialist/Technologist (Speech-Language Assistant)
4282 GENESEE AVE STE 102
SAN DIEGO, CA 92117
San Diego County (619) 207-0984

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jonelle Agelopoulos's NPI number?

The NPI number for Jonelle Agelopoulos is 1104671684. It was assigned to this individual provider in the NPPES registry on April 18, 2024.

Where is Jonelle Agelopoulos located?

Jonelle Agelopoulos practices at 4282 Genesee Ave Ste 102, San Diego, CA 92117. The listed phone number is (858) 737-4455.

What is Jonelle Agelopoulos's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Jonelle Agelopoulos enrolled in Medicare?

Yes. Jonelle Agelopoulos is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jonelle Agelopoulos's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jonelle Agelopoulos reassigns Medicare benefits to Advantage Speech Therapy Inc (Chico, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jonelle Agelopoulos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jonelle Agelopoulos was last updated on April 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.