JENNIFER HOLMBERG
NPI 1104505759
Speech-Language Pathologist in Baltimore, MD
NPI Status: Active since July 12, 2023
Contact Information
6451 N CHARLES ST
BALTIMORE, MD
ZIP 21212
Phone: (877) 407-3422
Fax: (877) 407-4329
- Individual
- Female
- Years of Experience 3
- Speech-Language Pathologist
- Accepts Medicare Approved Payment
About JENNIFER HOLMBERG
This page provides the complete NPI Profile along with additional information for Jennifer Holmberg, a provider established in Baltimore, Maryland with a medical specialization in Speech-language Pathologist and more than 3 years of experience. The healthcare provider is registered in the NPI registry with number 1104505759 assigned on July 2023. The practitioner's primary taxonomy code is 235Z00000X with license number 02726L (MD). The provider is registered as an individual and her NPI record was last updated August 2025.
- NPI
- 1104505759
- Provider Name
- JENNIFER HOLMBERG
- Other Name
- JENNIFER LISZEWSKI
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 6451 N CHARLES ST BALTIMORE, MD 21212
- Location Phone
- (877) 407-3422
- Location Fax
- (877) 407-4329
- Mailing Address
- 7 CARNEGIE PLZ CHERRY HILL, NJ 08003
- Mailing Phone
- (877) 407-3422
- Mailing Fax
- (877) 407-4329
- Medical School Name
- OTHER
- Graduation Year
- 2023
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-12-2023
- Last Update Date
- 08-12-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Speech-Language Pathologist
- Taxonomy Code
- 235Z00000X
- Type
- Speech, Language and Hearing Service Providers
- License No.
- 02726L
- License State
- MD
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 235Z00000X | Speech, Language and Hearing Service Providers | Speech-Language Pathologist | 41YS01298800 (NJ) |
| 2 | 235Z00000X | Speech, Language and Hearing Service Providers | Speech-Language Pathologist | 2202011716 (VA) |
Medicare Participation & PECOS Enrollment Status
Jennifer Holmberg is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
PECOS PAC ID: 7214398635
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20230802000821
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Reviews for JENNIFER HOLMBERG
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 0 | 4 | 5 | 0 | 5 | 7 | 5 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 0 | 4 | 10 | 0 | 10 | 7 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 0 + 4 + 1 + 0 + 0 + 1 + 0 + 7 + 1 + 0 + 24 = 41 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 41 = 9 | 9 | ||||||||
The NPI number 1104505759 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1609262310 | NICOLE WILLIAMS Individual | Speech-Language Pathologist | 6451 N CHARLES ST BALTIMORE, MD 21212 (877) 407-3422 |
| 1801253364 | GILLIAN VANDER TUIG Individual | Occupational Therapist | 6451 N CHARLES ST BALTIMORE, MD 21212 (877) 407-3422 |
| 1215471453 | ABRAHAM PAUL PT Individual | Physical Therapist | 6451 N CHARLES ST BALTIMORE, MD 21212 (877) 407-3422 |
| 1528591542 | TSEHAYE HABTESELASIE Individual | Occupational Therapist | 6451 N CHARLES ST BALTIMORE, MD 21212 (187) 740-7342 |
| 1487180345 | CASSANDRA HILL Individual | Physical Therapist | 6451 N CHARLES ST BALTIMORE, MD 21212 (877) 407-3422 |
| 1073039160 | MRS. MEGHAN ELLER HALL OTR/L Individual | Occupational Therapist | 6451 N CHARLES ST BALTIMORE, MD 21212 (877) 407-3422 |
| 1881105500 | SUSAN PULLMAN-BERSTEIN OT Individual | Occupational Therapist | 6451 N CHARLES ST BALTIMORE, MD 21212 (877) 407-3422 |
| 1467963173 | ROBYN SUSKIN OT Individual | Occupational Therapist | 6451 N CHARLES ST BALTIMORE, MD 21212 (877) 407-3422 |
| 1851804363 | TRACIE WAGNER Individual | Speech-Language Pathologist | 6451 N CHARLES ST BALTIMORE, MD 21212 (877) 407-3422 |
| 1235645177 | MS. KATHRYN G. LEETE OT Individual | Occupational Therapist | 6451 N CHARLES ST BALTIMORE, MD 21212 (877) 407-3422 |
| 1790215978 | MISS KAYLA MARGARET COAD Individual | Physical Therapist | 6451 N CHARLES ST BALTIMORE, MD 21212 (410) 394-7907 |
| 1619460037 | ALLISON WHITE SLP Individual | Speech-Language Pathologist | 6451 N CHARLES ST BALTIMORE, MD 21212 (877) 407-3422 |
| 1942789375 | GINA HARSHMAN PT Individual | Physical Therapist | 6451 N CHARLES ST BALTIMORE, MD 21212 (877) 407-3422 |
| 1255800702 | GAYLE MARIE LARSON PT Individual | Physical Therapist | 6451 N CHARLES ST BALTIMORE, MD 21212 (877) 407-3422 |
| 1922578889 | ERICA MARIE SPITALERI PT Individual | Physical Therapist | 6451 N CHARLES ST BALTIMORE, MD 21212 (877) 407-3422 |
| 1093286890 | AMANDA MARIE REICHENBACH PT Individual | Physical Therapist | 6451 N CHARLES ST BALTIMORE, MD 21212 (877) 407-3422 |
| 1184195505 | JENNAFER ANN SKARUPSKI OT Individual | Occupational Therapist | 6451 N CHARLES ST BALTIMORE, MD 21212 (877) 407-3422 |
| 1780155887 | LAURA ALEXANDRA ACEITUNO OT Individual | Occupational Therapist | 6451 N CHARLES ST BALTIMORE, MD 21212 (877) 407-3422 |
| 1609336403 | NAM PHUONG THUY NGUYEN OT Individual | Occupational Therapist | 6451 N CHARLES ST BALTIMORE, MD 21212 (877) 407-3422 |
| 1699335349 | ERICA LINN SMITH PT Individual | Physical Therapist | 6451 N CHARLES ST BALTIMORE, MD 21212 (877) 407-3422 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104505759, enumerated in the NPI registry as an "individual" on July 12, 2023
The provider is located at 6451 N Charles St Baltimore, Md 21212 and the phone number is (877) 407-3422
The provider's speciality is Speech-Language Pathologist with taxonomy code 235Z00000X
The provider has more than 3 years of experience.
This NPI record was last updated on July 12, 2023. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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