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JESSICA MARIE PETERS M.H.S CCC-SLP
NPI 1861096265
Speech-Language Pathologist in Fort Wayne, IN

Active since November 25, 2020
12938 COLDWATER RD, FORT WAYNE, IN 46845(260) 245-1455 Get Directions Write a Review

NPPES record last updated: May 7, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 7, 2021, Nov 25, 2020 (2 updates tracked since 2020).

About Jessica Marie Peters M.h.s Ccc-slp NPPES

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

JESSICA MARIE PETERS M.H.S CCC-SLP (NPI 1861096265) is an individual speech-language pathologist provider in Fort Wayne, Indiana, licensed in Illinois (242005700) and active in the NPI registry since November 2020.

NPPES Registry Identity

NPI1861096265
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameJESSICA MARIE PETERSCredential: M.H.S CCC-SLP
Location Address12938 COLDWATER RDFort Wayne, IN 46845-9517
Mailing Address12938 Coldwater RdFort Wayne, IN 46845-9517 · (260) 245-1455
Phone(260) 245-1455
Sole ProprietorYes
Enumeration DateNovember 25, 2020
Last NPPES UpdateMay 7, 20212 updates tracked since enumeration
NPPES CertifiedMay 7, 2021
✔ NPI 1861096265 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 IL · 242005700
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.
12938 COLDWATER RD, Fort Wayne, IN 46845
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

MAKAILYN OMO RBT
Behavior Technician
12938 COLDWATER RD
FORT WAYNE, IN 46845
Allen County (317) 815-5501
VICTORIA BENJAMIN-BOOKER
Behavior Technician
12938 COLDWATER RD
FORT WAYNE, IN 46845
Allen County (317) 815-5501
TABITHA SEATON
Behavior Technician
12938 COLDWATER RD
FORT WAYNE, IN 46845
Allen County (317) 815-5501
ABIGAIL SCHUMAN
Behavior Technician
12938 COLDWATER RD
FORT WAYNE, IN 46845
Allen County (317) 815-5501
KAYLA MOGG OTD, OTR/L
Occupational Therapist (Pediatrics)
12938 COLDWATER RD
FORT WAYNE, IN 46845
Allen County (260) 245-1455
TAYLOR HURLEY
Behavior Technician
12938 COLDWATER RD
FORT WAYNE, IN 46845
Allen County (317) 584-5166
HEATHER NICCUM RBT
Behavior Technician
12938 COLDWATER RD
FORT WAYNE, IN 46845
Allen County (317) 815-5501
LUCAS REUST
Behavior Technician
12938 COLDWATER RD
FORT WAYNE, IN 46845
Allen County (317) 815-5501

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 Jessica Peters's NPI number?

The NPI number for Jessica Peters is 1861096265. It was assigned to this individual provider in the NPPES registry on November 25, 2020.

Where is Jessica Peters located?

Jessica Peters practices at 12938 Coldwater Rd, Fort Wayne, IN 46845. The listed phone number is (260) 245-1455.

What is Jessica Peters's specialty?

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

When was this NPI record last updated?

The NPPES record for Jessica Peters was last updated on May 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.