1. Home
  2. Directory
  3. Florida
  4. Jacksonville
  5. Clinic Center
  6. NPI Profile

FRESH START SPEECH THERAPY SERVICES LLC.
NPI 1528591302
Clinic/Center in Jacksonville, FL

Active since April 07, 2017
9957 MOORINGS DR STE 301, JACKSONVILLE, FL 32257(904) 652-6165(833) 241-4607 Get Directions Write a Review

NPPES record last updated: May 30, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: May 30, 2023, Jan 30, 2023, Jan 27, 2023 (3 updates tracked since 2023).

About Fresh Start Speech Therapy Services Llc. NPPES

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

FRESH START SPEECH THERAPY SERVICES LLC. (NPI 1528591302) is a healthcare organization registered as a clinic/center in Jacksonville, Florida and active in the NPI registry since April 2017. The organization maintains a secondary practice location in Brunswick and lists Khalilah Mignon Marques, Director, Manager, as its authorized official.

NPPES Registry Identity

NPI1528591302
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameFRESH START SPEECH THERAPY SERVICES LLC.
Location Address9957 MOORINGS DR STE 301Jacksonville, FL 32257-2415
Mailing Address9957 Moorings Dr Ste 301Jacksonville, FL 32257-2415 · (904) 652-6165 · Fax (833) 241-4607
Phone(904) 652-6165
Fax(833) 241-4607
Organization SubpartNo
Authorized OfficialKhalilah Mignon MarquesDirector, Manager · (904) 652-6165
Enumeration DateApril 7, 2017
Last NPPES UpdateMay 30, 20233 updates tracked since enumeration
NPPES CertifiedMay 30, 2023
✔ NPI 1528591302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Also ListedOccupational TherapistTaxonomy 225X00000X
Also ListedSpecialist/Technologist · Speech-Language AssistantTaxonomy 2355S0801X
Also ListedSpeech-Language PathologistTaxonomy 235Z00000X
Also ListedClinic/Center · Hearing and SpeechTaxonomy 261QH0700X
9957 MOORINGS DR STE 301, Jacksonville, FL 32257
Open in Google Maps ↗

Secondary Practice Location 1

Location 11201 Fountain Park CirBrunswick, GA 31520-4859 · Phone (912) 837-0008 · Fax (833) 241-4607

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fresh Start Speech Therapy Services Llc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Fresh Start Speech Therapy Services LLC., which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Khalilah Marques, SLP
Qualified Speech Language Pathologist
NPI 1932478153
9957 MOORINGS DR STE 301
Jacksonville, FL 32257
(904) 652-6165
Same address
Velinda Utile, OTD
Occupational Therapist in Private Practice
NPI 1972216281
340 16TH AVE N STE B
Jacksonville Beach, FL 32250
(904) 249-8893
15 mi

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 Fresh Start Speech Therapy Services LLC.'s NPI number?

The NPI number for Fresh Start Speech Therapy Services LLC. is 1528591302. It was assigned to this organization in the NPPES registry on April 7, 2017.

Where is Fresh Start Speech Therapy Services LLC. located?

Fresh Start Speech Therapy Services LLC. is located at 9957 Moorings Dr Ste 301, Jacksonville, FL 32257. The listed phone number is (904) 652-6165.

What is Fresh Start Speech Therapy Services LLC.'s specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Fresh Start Speech Therapy Services LLC. enrolled in Medicare?

Yes. Fresh Start Speech Therapy Services LLC. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Fresh Start Speech Therapy Services LLC.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Fresh Start Speech Therapy Services LLC., in Occupational Therapist in Private Practice and Qualified Speech Language Pathologist. A 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 the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Fresh Start Speech Therapy Services LLC. was last updated on May 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.