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JACOB LAWLOR M.S. CCC-SLP
NPI 1184988784
Speech-Language Pathologist in Richmond, CA

Active since June 28, 2012Accepts Medicare Assignment
648 42ND ST, RICHMOND, CA 94805(510) 730-6254 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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. He is a graduate of Other (2008).

NPPES Registry Identity

NPI1184988784
Entity TypeIndividualMale
Primary Taxonomy235Z00000X
Provider Legal NameJACOB LAWLORCredential: M.S. CCC-SLP
Location Address648 42ND STRichmond, CA 94805-1818
Mailing Address648 42nd StRichmond, CA 94805-1818 · (510) 730-6254
Phone(510) 730-6254
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateJune 28, 2012
Last NPPES UpdateFebruary 11, 2022
✔ NPI 1184988784 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
License✔ Licensed in CA · 17491
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.
648 42ND ST, Richmond, CA 94805
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jacob Lawlor M.s. Ccc-slp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5395975452
PECOS Enrollment IDI20140311001403

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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

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.