Individual provider Active NPI

Emma Neibacher, CCC-SLP

  • Speech-Language Pathologist
  • Kansas City, MO
National Provider Identifier
1407372345
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2017030395 Issued in MO
Practice address
6204 NW 82ND Ter
Kansas City, MO 64151-1053
Phone
(315) 767-7052
NPI assigned
Aug 22, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 4376 KS
Speech-Language Pathologist 235Z00000X 2017030395 MO Primary
Speech-Language Pathologist 235Z00000X 034352 NY

Addresses

Primary practice location

6204 NW 82ND Ter
Kansas City, MO 64151-1053

Mailing address

15520 College Blvd
Lenexa, KS 66219-1353
Phone (913) 386-5500

Other practice location 1

15520 College Blvd
Lenexa, KS 66219-1353
Phone (913) 386-5500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4376KSMDSpeech-Language Pathologist
2017030395MOMDSpeech-Language Pathologist
034352NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Willow SLP Services LLC Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1503360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1407372345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15520 COLLEGE BLVD",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662191353",
            "telephone_number": "913-386-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6204 NW 82ND TER",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641511053",
            "telephone_number": "315-767-7052"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15520 College Blvd",
            "address_purpose": "LOCATION",
            "city": "Lenexa",
            "state": "KS",
            "postal_code": "662191353",
            "country_code": "US",
            "telephone_number": "913-386-5500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEIBACHER",
        "first_name": "EMMA",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-22",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KS",
            "license": "4376",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2017030395",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "034352",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.