IndividualActive
Jenna Koziol, SLP-CCC
NPI 1255902243 · Speech-Language Pathologist · Camarillo, CA
Provider details
- NPI number
- 1255902243
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- SLP-CCC
- Sex
- Female
- Sole proprietor
- No
- License
- SP31125 (CA)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
400 W Ventura Blvd Ste 150
Camarillo, CA 93010-9140
Phone: (805) 383-1497
Street-level locationGet directions
Mailing address
400 W Ventura Blvd Ste 150
Camarillo, CA 93010-9140
Additional practice locations (1)
- 400 W Ventura BlvdCamarillo, CA 93010-9137Phone: (805) 383-1497
Registry dates
- Enumerated
- 2021-07-09
- Last updated
- 2021-07-09
- Certified
- 2021-06-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.