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JODI LYNN DEZALE MA CCC SLP
NPI 1962535245
Speech-Language Pathologist in Golden Valley, MN

Active since March 14, 2007
3915 GOLDEN VALLEY ROAD, COURAGE CENTER, GOLDEN VALLEY, MN 55422(763) 520-0714(763) 520-0355 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jodi Lynn Dezale Ma Ccc Slp NPPES

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

JODI LYNN DEZALE MA CCC SLP (NPI 1962535245) is an individual speech-language pathologist provider in Golden Valley, Minnesota, licensed in Minnesota (7929) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1962535245
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameJODI LYNN DEZALECredential: MA CCC SLP
Location Address3915 GOLDEN VALLEY ROAD, COURAGE CENTERGolden Valley, MN 55422-4298
Mailing Address3915 Golden Valley Road, Courage CenterGolden Valley, MN 55422-4298 · (763) 520-0714 · Fax (763) 520-0355
Phone(763) 520-0714
Fax(763) 520-0355
Sole ProprietorNo
Enumeration DateMarch 14, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1962535245 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 MN · 7929
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.
3915 GOLDEN VALLEY ROAD, Golden Valley, MN 55422
Open in Google Maps ↗

Other Identifiers 3

Other4600930MN · Medica
Other083HIDEMN · Bcbs Minnesota
OtherHP56680MN · Healthpartners

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jodi Lynn Dezale Ma Ccc Slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Jodi Dezale reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Associated Speech And Language Specialists LLC
11 mi
Speech-Language Pathologist
561 W 7TH ST
St Paul, MN 55102
  • Reassigned Medicare billing, Minnesota enrollment
  • 16 clinicians in this Medicare group
NPI 1881636223 (651) 225-4558

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

MONICA L MOMMSEN OTRL
Occupational Therapist
3915 GOLDEN VALLEY ROAD, COURAGE CENTER
GOLDEN VALLEY, MN 55422
Hennepin County (763) 588-0811
LEE ANN MAE MATEFFY OTR L
Occupational Therapist
3915 GOLDEN VALLEY ROAD, COURAGE CENTER
GOLDEN VALLEY, MN 55422
Hennepin County (763) 520-0431
CHRISTA MARIE HASKINS PT
Physical Therapist
3915 GOLDEN VALLEY ROAD, COURAGE CENTER
GOLDEN VALLEY, MN 55422
Hennepin County (763) 520-0647
NATHANYAL M JACKLITCH MPT
Physical Therapist
3915 GOLDEN VALLEY ROAD, COURAGE CENTER
GOLDEN VALLEY, MN 55422
Hennepin County (763) 520-0867
MELISSA A GILL PT
Physical Therapist
3915 GOLDEN VALLEY ROAD, COURAGE CENTER
GOLDEN VALLEY, MN 55422
Hennepin County (763) 588-4798
MARSHA ZUCKERMAN MSSW
Social Worker (Clinical)
3915 GOLDEN VALLEY ROAD, COURAGE CENTER
MINNEAPOLIS, MN 55422
Hennepin County (763) 520-0721
ELIZABETH JUNE CONNELLY PTA
Physical Therapy Assistant
3915 GOLDEN VALLEY ROAD, COURAGE CENTER
GOLDEN VALLEY, MN 55422
Hennepin County (763) 520-0709
SHEREEN ESSACK OTR L
Occupational Therapist
3915 GOLDEN VALLEY ROAD, COURAGE CENTER
GOLDEN VALLEY, MN 55422
Hennepin County (763) 520-0712

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 Jodi Dezale's NPI number?

The NPI number for Jodi Dezale is 1962535245. It was assigned to this individual provider in the NPPES registry on March 14, 2007.

Where is Jodi Dezale located?

Jodi Dezale practices at 3915 Golden Valley Road Courage Center, Golden Valley, MN 55422. The listed phone number is (763) 520-0714.

What is Jodi Dezale's specialty?

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

Is Jodi Dezale enrolled in Medicare?

Yes. Jodi Dezale is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jodi Dezale's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jodi Dezale reassigns Medicare benefits to Associated Speech And Language Specialists LLC (St Paul, MN). 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 Jodi Dezale'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 Jodi Dezale was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.