JACOB LAWLOR M.S. CCC-SLP
NPI 1184988784
Speech-Language Pathologist in Richmond, CA
About Jacob Lawlor M.s. Ccc-slp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACOB LAWLOR M.S. CCC-SLP (NPI 1184988784) is an individual speech-language pathologist provider in Richmond, California, licensed in California (17491) and active in the NPI registry since June 2012.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jacob Lawlor M.s. Ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jacob Lawlor reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Richmond, CA 94801
- Reassigned Medicare billing, California enrollment
- 20,078 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Jacob Lawlor's NPI number?
The NPI number for Jacob Lawlor is 1184988784. It was assigned to this individual provider in the NPPES registry on June 28, 2012.
Where is Jacob Lawlor located?
Jacob Lawlor practices at 648 42nd St, Richmond, CA 94805. The listed phone number is (510) 730-6254.
What is Jacob Lawlor's specialty?
The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.
Is Jacob Lawlor enrolled in Medicare?
Yes. Jacob Lawlor is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jacob Lawlor's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Lawlor reassigns Medicare benefits to Permanente Medical Group Inc (Richmond, 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 Jacob Lawlor'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 Jacob Lawlor was last updated on February 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Jacob Lawlor, M.S. CCC-SLP · NPI 1184988784
Speech-Language Pathologist provider in Richmond, California. Individual provider, active in the CMS NPPES registry since June 28, 2012.
## Identity
- **NPI:** 1184988784 (Entity type: Individual)
- **Enumerated:** June 28, 2012
- **Primary specialty:** Speech-Language Pathologist · taxonomy 235Z00000X
- **State license:** 17491 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 648 42ND ST, Richmond, CA 94805-1818
- **Phone:** (510) 730-6254
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Permanente Medical Group Inc (NPI 1235226531, Richmond, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 11, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1184988784) · Data from the CMS NPPES public registry.