Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1083579072 Individual Practitioner

Jillian Utz Lebakken , MS

Speech-Language Pathologist • Holmen, WI

Professional Overview & Biography Verified Profile Summary

Jillian Utz Lebakken, MS is a registered healthcare professional specializing in Speech-Language Pathologist in Holmen, WI. Practice services are available at 1201 NEWPORT LN under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1201 Newport Ln

Holmen, WI 546368635

Telephone 6085261600

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Holmen, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.9 Yrs
Regional Practice Density
8 Specialists

Practicing in Holmen, WI (3821 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: 2025-12-22
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License WI 832420

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

6 Historical Events
NPI Profile Active December 22, 2025

NPI status registered as active in NPPES database

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Updated Practice Location December 22, 2025

Registered at 1201 NEWPORT LN, HOLMEN, WI 546368635 (Tel: 6085261600)

📍
Updated Business Mailing Address December 22, 2025

Registered at 1201 NEWPORT LN, HOLMEN, WI 546368635 (Tel: 6085261600)

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Provider Name / Credentials Updated December 22, 2025

Recorded as JILLIAN UTZ LEBAKKEN, MS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 22, 2025

Speech-Language Pathologist (License #832420 in WI)

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Initial NPI Registration & Enumeration December 22, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1083579072
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 22, 2025
Last Update: December 22, 2025
Sole Proprietor: No

Mailing Address

1201 Newport Ln

Holmen, WI 546368635

Phone: 6085261600

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.