Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1306354162 Individual Practitioner Female Practitioner

Mackenzie Burris , MS CCC-SLP

Speech-Language Pathologist • Belleville, IL

Professional Overview & Biography Verified Profile Summary

Mackenzie Burris, MS CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Belleville, IL. Practice services are available at 1400 N CHARLES ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1400 N Charles St

Belleville, IL 622214858

Telephone 6182333798

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Belleville, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.5 Yrs
State Avg: 13.2 Yrs
Regional Practice Density
91 Specialists

Practicing in Belleville, IL (10321 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: 2022-08-29
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License IL 242006252

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Kelsey Hibbeler

Speech-Language Pathologist

NPI 1326697376
Brooke Bartling

Speech-Language Pathologist

NPI 1841022761
Olivia Fiedler

Speech-Language Pathologist

NPI 1962389197

Career & Practice History Timeline

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

13 Historical Events
📍
Updated Practice Location August 29, 2022

Registered at 1400 N CHARLES ST, BELLEVILLE, IL 622214858 (Tel: 6182333798)

📍
Updated Business Mailing Address August 29, 2022

Registered at 1400 N CHARLES ST, BELLEVILLE, IL 622214858

👤
Provider Name / Credentials Updated August 29, 2022

Recorded as MACKENZIE BURRIS, MS CCC-SLP

📍
Updated Practice Location August 18, 2021

Registered at 40 SIGNAL HILL PL, BELLEVILLE, IL 622231644 (Tel: 6189703253)

📍
Updated Business Mailing Address August 18, 2021

Registered at 40 SIGNAL HILL PL, BELLEVILLE, IL 622231644

👤
Provider Name / Credentials Updated August 18, 2021

Recorded as MACKENZIE BURRIS, MS CF-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 18, 2021

Speech-Language Pathologist (License #242006252 in IL)

NPI Profile Active January 15, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location January 15, 2018

Registered at 634 N MAIN ST STE 4, O FALLON, IL 622693746 (Tel: 6187265870)

📍
Updated Business Mailing Address January 15, 2018

Registered at 21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 913677807

👤
Provider Name / Credentials Updated January 15, 2018

Recorded as MACKENZIE BURRIS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 15, 2018

Behavior Technician (License #00004028 in IL)

🟢
Initial NPI Registration & Enumeration January 15, 2018

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: 1306354162
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 15, 2018
Last Update: August 29, 2022
Sole Proprietor: No

Mailing Address

1400 N Charles St

Belleville, IL 622214858

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.