Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1629326913 Individual Practitioner Female Practitioner

Jacqueline J Johnson , CCC-SLP

Speech-Language Pathologist • Luverne, MN

Professional Overview & Biography Verified Profile Summary

Jacqueline Johnson, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Luverne, MN. Practice services are available at 709 N KNISS AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

709 N Kniss Ave

Luverne, MN 561561229

Telephone 5072834497
Associated Practice Facility / Clinic
🏢 Luverne Public School Facility NPI 1609932516

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Luverne, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 3.0 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
3 Specialists

Practicing in Luverne, MN (3097 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: 2026-04-23
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License MN 12008996

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.

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location April 23, 2026

Registered at 709 N KNISS AVE, LUVERNE, MN 561561229 (Tel: 5072834497)

📍
Updated Business Mailing Address April 23, 2026

Registered at 812 BLUE WATER CIR, LUVERNE, MN 561561302 (Tel: 6052280142)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 23, 2026

Speech-Language Pathologist (License #12008996 in MN)

NPI Profile Active August 17, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location August 17, 2012

Registered at 1020 W 18TH ST, SIOUX FALLS, SD 571044707 (Tel: 6057822368)

📍
Updated Business Mailing Address August 17, 2012

Registered at 1020 W 18TH ST, SIOUX FALLS, SD 571044707 (Tel: 6057822368)

👤
Provider Name / Credentials Updated August 17, 2012

Recorded as JACQUELINE JOHNSON, CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 17, 2012

Speech-Language Pathologist (License #12008996 in SD)

🟢
Initial NPI Registration & Enumeration August 17, 2012

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: 1629326913
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 17, 2012
Last Update: April 23, 2026
Sole Proprietor: No

Mailing Address

812 Blue Water Cir

Luverne, MN 561561302

Phone: 6052280142

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.