Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1952499212 Individual Practitioner Female Practitioner

Carissa Johnson , MS, CCC

Speech-Language Pathologist • Lithia, FL

Professional Overview & Biography Verified Profile Summary

Carissa Johnson, MS, CCC is a registered healthcare professional specializing in Speech-Language Pathologist in Lithia, FL. Practice services are available at 5207 GRANITE RIDGE DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5207 Granite Ridge Dr

Lithia, FL 335471845

Telephone 8132202730
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Lithia, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.7 Yrs
Regional Practice Density
8 Specialists

Practicing in Lithia, FL (11640 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-10-03
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License FL SA7318

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.

Developmental Therapist

NUCC Taxonomy Code: 222Q00000X

A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
812018800 (FL)
Medicaid State Provider ID
889202400 (FL)
Commercial Insurance / Payer ID Bc/bs Of Florida #
S2755 (FL)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location October 03, 2022

Registered at 5207 GRANITE RIDGE DR, LITHIA, FL 335471845 (Tel: 8132202730)

📍
Updated Business Mailing Address October 03, 2022

Registered at 5207 GRANITE RIDGE DR, LITHIA, FL 335471845 (Tel: 8132202730)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 03, 2022

Developmental Therapist

NPI Profile Active September 12, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location September 12, 2011

Registered at 602 VONDERBURG DR, SUITE 201, BRANDON, FL 335115900 (Tel: 8136531149)

📍
Updated Business Mailing Address September 12, 2011

Registered at 602 VONDERBURG DR, SUITE 201, BRANDON, FL 335115900 (Tel: 8135531149)

👤
Provider Name / Credentials Updated September 12, 2011

Recorded as CARISSA JOHNSON, M.S., C.C.C.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 12, 2011

Speech-Language Pathologist (License #SA7318 in FL)

🟢
Initial NPI Registration & Enumeration October 11, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1952499212
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 11, 2006
Last Update: October 03, 2022
Sole Proprietor: No

Mailing Address

5207 Granite Ridge Dr

Lithia, FL 335471845

Phone: 8132202730

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.