JENNIFER COLLEEN BRICKLEY MA,CCC-SLP
NPI 1619145083
Speech-Language Pathologist in Sacramento, CA
About Jennifer Colleen Brickley Ma,ccc-slp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENNIFER COLLEEN BRICKLEY MA,CCC-SLP (NPI 1619145083) is an individual speech-language pathologist provider in Sacramento, California, licensed in California (15077) and active in the NPI registry since February 2008.
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)
Jennifer Colleen Brickley Ma,ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jennifer Brickley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Granite Bay, CA 95746
- Reassigned Medicare billing, California enrollment
- 2 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 Jennifer Brickley's NPI number?
The NPI number for Jennifer Brickley is 1619145083. It was assigned to this individual provider in the NPPES registry on February 19, 2008.
Where is Jennifer Brickley located?
Jennifer Brickley practices at 4755 Jerry Way, Sacramento, CA 95819. The listed phone number is (916) 731-4211.
What is Jennifer Brickley's specialty?
The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.
Is Jennifer Brickley enrolled in Medicare?
Yes. Jennifer Brickley is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jennifer Brickley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Brickley reassigns Medicare benefits to Synergy Speech Therapy LLC (Granite Bay, 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 Jennifer Brickley'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 Jennifer Brickley was last updated on February 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Jennifer Colleen Brickley, MA,CCC-SLP · NPI 1619145083
Speech-Language Pathologist provider in Sacramento, California. Individual provider, active in the CMS NPPES registry since February 19, 2008.
## Identity
- **NPI:** 1619145083 (Entity type: Individual)
- **Enumerated:** February 19, 2008
- **Primary specialty:** Speech-Language Pathologist · taxonomy 235Z00000X
- **State license:** 15077 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 4755 JERRY WAY, Sacramento, CA 95819-2255
- **Phone:** (916) 731-4211
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Synergy Speech Therapy LLC (NPI 1134787302, Granite Bay, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 19, 2008
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Source: [NPI Profile](https://npiprofile.com/npi/1619145083) · Data from the CMS NPPES public registry.