Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1215054507 Individual Practitioner Female Practitioner

Brenda M Wilson , CCC

Speech-Language Pathologist • Mattoon, IL

Professional Overview & Biography Verified Profile Summary

Brenda Wilson, CCC is a registered healthcare professional specializing in Speech-Language Pathologist in Mattoon, IL. Practice services are available at 200 LERNA RD S under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

200 Lerna Rd S

Mattoon, IL 619389388

Telephone 2172583640
Fax 2172583460
Associated Practice Facility / Clinic
🏢 Carle Foundation Hospital Facility NPI 1073668836

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Mattoon, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.0 Yrs
State Avg: 13.2 Yrs
Regional Practice Density
34 Specialists

Practicing in Mattoon, 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

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Personalcare Prov Id
7216
Commercial Insurance / Payer ID Blue Cross Prov Id
203 (IL)
Commercial Insurance / Payer ID Hamp Prov Id
4117 (IL)
Commercial Insurance / Payer ID Healthlink Prov Id
113326

Practice Associates & Co-Workers

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

3 Associated Practitioners
Sara Masse , MPT

Physical Therapist

NPI 1568588838

Master of Physical Therapy

Mark Masse , PT, MHS

Physical Therapist

NPI 1801912167

Physical Therapist, MHS

Jean Smitley , MS, CCC SCP

Speech-Language Pathologist

NPI 1821218934

Master of Science, CCCSCP

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 200 LERNA RD S, MATTOON, IL 619389388 (Tel: 2172583640)

📍
Updated Business Mailing Address July 08, 2007

Registered at 611 W PARK ST, URBANA, IL 618012500 (Tel: 2173262911)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as BRENDA WILSON, CCC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Speech-Language Pathologist

🟢
Initial NPI Registration & Enumeration March 23, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1215054507
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 23, 2007
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

611 W Park St

Urbana, IL 618012500

Phone: 2173262911

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.