{"npi":"1558037598","type":"NPI-1","status":"active","name":{"display":"Jennifer Johnson Ccc-Slp","other":[{"code":"1","type":"Formerly known as","value":"KLEINKE, JENNIFER ROSE"}],"first":"JENNIFER","last":"JOHNSON","middle":"ROSE","credential":"CCC-SLP"},"specialty":{"primary_taxonomy":"235Z00000X","primary_taxonomy_description":"Speech-Language Pathology","slug":"speech-language-pathology","schema_org_specialty":"Speech","all":[{"code":"235Z00000X","description":"Speech-Language Pathology","primary":true,"state":"MI","license":"7101006983"}]},"addresses":[{"purpose":"LOCATION","street_1":"909 WILSON RD STE B119","city":"EAST LANSING","state":"MI","postal_code":"488246410","country_code":"US","phone":"5173533070","fax":"5178841817"},{"purpose":"MAILING","street_1":"804 SERVICE RD STE A202","city":"EAST LANSING","state":"MI","postal_code":"488247015","country_code":"US","phone":"5173533070","fax":"5178841817"}],"license":{"state":"MI","number":"7101006983"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20250307002161","type_code":"14-15","type_desc":"PRACTITIONER - QUALIFIED SPEECH LANGUAGE PATHOLOGIST","state":"MI","pac_id":"3274054176"}]},"enumeration_date":"2021-08-19","last_updated":"2025-02-26","_meta":{"source":"NPPES","snapshot_date":"2025-02-26","doc_url":"https://findmynpi.com/api"}}