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Active NPI 1619686391 Individual Practitioner Female Practitioner

Mallory Breanne Libbert , MS, CCC-SLP

Speech-Language Pathologist • Jasper, IN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Mallory Libbert, MS, CCC-SLP is a certified Speech-Language Pathologist practicing in Jasper, IN. With approximately 11 years of clinical experience since completing medical education in 2015, Mallory Libbert delivers high-quality medical care to the local community at 3150 SAINT CHARLES ST.

Mallory Libbert is affiliated with Legacy Therapy And Rehabilitation Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include treatment of speech, language, voice, communication, and/or hearing processing disorder. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3150 Saint Charles St

Jasper, IN 475461858

Telephone 8126346570
Fax 8126347919
Associated Practice Facility / Clinic
🏢 Good Samaritan Hospital Facility NPI 1134206030

Medicare Profile & Education

Medical School

Other

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Jasper, IN

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
11 Yrs -4.0 yrs vs City Avg
City Avg: 15.0 Yrs
State Avg: 17.0 Yrs
Regional Practice Density
20 Specialists

Practicing in Jasper, IN (3038 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
44.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Libbert (11 Years) 11 Yrs
Jasper Specialty Average (15.0 Years) 15.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92507 Treatment of speech, language, voice, communication, and/or hearing processing disorder
68 23 $130.00 $71.57

Medical Specialties & State Licenses

CMS Verified: 2022-11-21
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License IN 22006418A

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.

Hospital & Practice Group Affiliations

Legacy Therapy And Rehabilitation Llc

1850 W State Rd, Jasper, IN 475467010

Phone: 8125563196

Practice Associates & Co-Workers

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

4 Associated Practitioners
Allison Braun

Registered Nurse

NPI 1124696273
Aimee Hosler , RN

Registered Nurse - Administrator

NPI 1417524158

Registered Nurse

Deena Mokris , OTR

Occupational Therapist

NPI 1457602872

Occupational Therapist Registered

Lisa Dorsey , RN

Registered Nurse

NPI 1821665464

Registered Nurse

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active November 21, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location November 21, 2022

Registered at 3150 SAINT CHARLES ST, JASPER, IN 475461858 (Tel: 8126346570)

📍
Updated Business Mailing Address November 21, 2022

Registered at 2131 W 5TH AVE, JASPER, IN 475469720 (Tel: 8128271062)

👤
Provider Name / Credentials Updated November 21, 2022

Recorded as MALLORY LIBBERT, M.S., CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 21, 2022

Speech-Language Pathologist (License #22006418A in IN)

🟢
Initial NPI Registration & Enumeration November 21, 2022

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: 1619686391
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 21, 2022
Last Update: November 21, 2022
Sole Proprietor: Yes

Mailing Address

2131 W 5th Ave

Jasper, IN 475469720

Phone: 8128271062

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.