JENNIFER MORENO (M.S., CCC-SLP) – Speech-Language Pathologist, NPI 1629519749

JENNIFER MORENO (M.S., CCC-SLP) is a healthcare provider. based in Laredo, Texas. specializing in QUALIFIED SPEECH LANGUAGE PATHOLOGIST. They hold the professional credentials M.S., CCC-SLP. They hold a License No. 38415 (TX). The NPI Number for JENNIFER MORENO (M.S., CCC-SLP) is 1629519749

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER MORENO (M.S., CCC-SLP)
NPI
1629519749
Phone
(956) 722-2431
Address
1220 N MALINCHE AVE
Enumeration Date
9 March 2017
Last Update Date
22 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9567222431
Graduation Year
2022 (4 years ago)
PAC ID
2264884659
Group Practice PAC ID
0143257477
Professional Enrollment ID
I20240122002910
Address ID
TX780433354LA1220XAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:9State licenses:2Digital endpointsOther names

635 QUALIFIED SPEECH LANGUAGE PATHOLOGIST in TX

Provider Addresses for JENNIFER MORENO (M.S., CCC-SLP)

  • 1220 N MALINCHE AVE

    LAREDO, TX 780433354

    Phone: (956) 722-2431

    Type: Mailing

  • 8004 WEST AVE

    SAN ANTONIO, TX 782131870

    Phone: (210) 340-2627

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-01-22

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240122002910IQualified Speech Language PathologistTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 78043)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0143257477View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeTX
Qualified Speech Language PathologistTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX

Reviews

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Frequently asked questions

Does JENNIFER MORENO (M.S., CCC-SLP) have a public NPI I can cite?
Public records show JENNIFER MORENO (M.S., CCC-SLP) under NPI 1629519749.
Does the public listing show JENNIFER MORENO (M.S., CCC-SLP) as active?
JENNIFER MORENO (M.S., CCC-SLP)'s NPI record reflects an active status in NPPES.
What services align with JENNIFER MORENO (M.S., CCC-SLP)'s listing?
JENNIFER MORENO (M.S., CCC-SLP)'s public classification highlights Speech-Language Pathologist. Clinical services aligned with this taxonomy classification.
What city is tied to JENNIFER MORENO (M.S., CCC-SLP)?
The directory associates JENNIFER MORENO (M.S., CCC-SLP) with Laredo, Texas. Check all listed addresses for suites or satellite offices.
Who maintains JENNIFER MORENO (M.S., CCC-SLP)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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