Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jodene Venessa Jackson, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1588470603

Jodene Venessa Jackson, CCC-SLP is a Qualified Speech Language Pathologist in Los Angeles, California. Graduated from University of Kansas School of Med (KC/WICH/SAL) in 2018, 8 years ago. Licensed in California.

Years since qualifying
8
Trained at
University of Kansas School of Med (KC/WICH/SAL)
Licensed in
CA
In the registry since
2024
What do these letters mean?
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

2070 Century Park E
Los Angeles, CA 90067-1907
Phone: (424) 522-7100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 29257 (CA)

Record details

NPI number1588470603
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorNo
NPI enumeratedDecember 4, 2024
Last updated in NPPESDecember 4, 2024
Certification dateDecember 4, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolUNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Not indicated

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