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

Mrs. Jenna Beth Black, MS, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1588553317

Mrs. Jenna Beth Black, MS, CCC-SLP is a Qualified Speech Language Pathologist in Kodiak, Alaska. Qualified in 2021, 5 years ago. Practices as a sole proprietor. Licensed in Alaska.

Years since qualifying
5
Licensed in
AK
In the registry since
2025
What do these letters mean?
MS — Master of Science
A graduate science degree.
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

8108B Point Sherman Dr
Kodiak, AK 99615-6743
Phone: (256) 453-4990
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 219076 (AK)

Record details

NPI number1588553317
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-SLP
Sole proprietorYes
NPI enumeratedJune 27, 2025
Last updated in NPPESJune 27, 2025
Certification dateJune 27, 2025

Medicare enrollment

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

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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