Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1841546850 Individual Practitioner Female Practitioner

Marie A Johnson , CCC-SLP

Speech-Language Pathologist • Johnson City, TN

Professional Overview & Biography Verified Profile Summary

Marie Johnson, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Johnson City, TN. Practice services are available at 156 S DOSSETT DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

156 S Dossett Dr

Johnson City, TN 376141702

Telephone 4234394355
Fax 4234394607
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Johnson City, TN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.0 Yrs
State Avg: 13.2 Yrs
Regional Practice Density
94 Specialists

Practicing in Johnson City, TN (3778 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: 2024-01-18
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License TN SP0000004374

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

Medicaid State Provider ID
1511884 (TN)
Commercial Insurance / Payer ID Asha
12146389 (TN)
Commercial Insurance / Payer ID St License
SP0000004374 (TN)

Secondary Practice Locations

1000 Jason Witten Way

Elizabethton, TN 376432970

Phone: 4234394355

2423 Susannah St

Johnson City, TN 376011719

Phone: 4239159257

Practice Associates & Co-Workers

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

25 Associated Practitioners
Kristy Eisenzopf , MED, CCC-SLP

Speech-Language Pathologist

NPI 1205154986

Master of Education, Speech-Language Pathologist (Certificate of Clinical Competence)

NPI 1225060163

Doctor of Philosophy (Ph.D.), CCCA

NPI 1245903392

Doctor of Audiology

NPI 1295887990

Doctor of Philosophy (Ph.D.), Speech-Language Pathologist (Certificate of Clinical Competence)

Kristine Matthias , CCC-SLP

Speech-Language Pathologist

NPI 1306241005

Speech-Language Pathologist (Certificate of Clinical Competence)

NPI 1316906647

Master of Arts

Career & Practice History Timeline

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

12 Historical Events
📍
Updated Business Mailing Address May 20, 2019

Registered at PO BOX 699, MOUNTAIN HOME, TN 376840699 (Tel: 4234394355)

NPI Profile Active April 19, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location April 19, 2017

Registered at 156 S DOSSETT DR, JOHNSON CITY, TN 376141702 (Tel: 4234394355)

📍
Updated Business Mailing Address April 19, 2017

Registered at PO BOX 70643, 156 S DOSSETT DR, JOHNSON CITY, TN 376141702 (Tel: 4234394584)

👤
Provider Name / Credentials Updated April 19, 2017

Recorded as MARIE JOHNSON, CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 19, 2017

Speech-Language Pathologist (License #SP0000004374 in TN)

NPI Profile Active July 27, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location July 27, 2012

Registered at 807 UNIVERSITY PKWY, LAMB HALL, ROOM 361, JOHNSON CITY, TN 376146500 (Tel: 4234394584)

📍
Updated Business Mailing Address July 27, 2012

Registered at 807 UNIVERSITY PKWY, BOX 70403, JOHNSON CITY, TN 376146500 (Tel: 4234394071)

👤
Provider Name / Credentials Updated July 27, 2012

Recorded as MARIE JOHNSON, CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 27, 2012

Speech-Language Pathologist (License #SP0000004374 in TN)

🟢
Initial NPI Registration & Enumeration July 27, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Marie Johnson. Be the first to share your experience!

Sign in to leave a review for Marie Johnson

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1841546850
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 27, 2012
Last Update: January 18, 2024
Sole Proprietor: No

Mailing Address

Po Box 699

Mountain Home, TN 376840699

Phone: 4234394355

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.