Skip to content

Jessica Rae Eberhart, M.S. CCC-SLP

NPI 1649819392ActiveIndividual· Speech-Language Pathologist· Lake Ronkonkoma, NY

Speech-Language Pathologist (M.S. CCC-SLP) with Expressable Therapy PC, practicing in Lake Ronkonkoma, New York. Enrolled in Medicare as practitioner - qualified speech language pathologist.

Overview

NPI1649819392
StatusActive
Entity typeIndividual
CredentialM.S. CCC-SLP
Sole proprietorYes
NPI issuedDec 29, 2019
Last updated in NPPESDec 29, 2019
Certified by providerDec 29, 2019

Specialties and licenses

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary235Z00000X—NY

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Qualified Speech Language Pathologist (NY)

Medicare sources and data years

Education and affiliations

Graduation year2018
Medicare specialtyQualified Speech Language Pathologist
TelehealthOffers telehealth

Medical group

Source: CMS Care Compare

Other Speech-Language Pathologist providers in Lake Ronkonkoma

All Speech-Language Pathologist providers in New York →