Individual provider Active NPI

Abigail Chrisine Johnson

  • Speech-Language Pathologist
  • Cumberland, WI
National Provider Identifier
1457927261
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
6466-154 Issued in WI
Practice address
1705 16TH Ave
Cumberland, WI 54829-8601
Phone
(715) 822-7301
Fax
(715) 822-7301
NPI assigned
Jun 2, 2021
Reactivated
Jan 17, 2024
Last updated
Mar 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 6466-154 WI Primary
Behavior Technician 106S00000X

Addresses

Primary practice location

1705 16TH Ave
Cumberland, WI 54829-8601

Mailing address

1705 16TH Ave
Cumberland, WI 54829-8601
Phone (715) 822-7300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240904002288 WI Practitioner - Qualified Speech Language Pathologist 1254871387 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mjcare, Inc. CurrentSince Feb 4, 2024 Accepting new patients
Center for Speech, Language and Learning, Inc. Speech-Language Pathologist PastSince Jun 1, 2021 Accepting new patients
Burnett Medical Center Inc Past Accepting new patients
Burnett Medical Center Inc Past Accepting new patients
Center for Speech, Language, and Learning, Inc. PastSince Jun 1, 2021 Accepting new patients

Locations

2725 S Moorland Rd
Ste 301
New Berlin, WI 53151
Phone (414) 329-2428

Interoperability endpoints

  • Direct secure messaging: ajohnson627354@excellian.direct.allina.com

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1622592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1457927261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 16TH AVE",
            "city": "CUMBERLAND",
            "state": "WI",
            "postal_code": "548298601",
            "telephone_number": "715-822-7300",
            "fax_number": "715-822-7301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 16TH AVE",
            "city": "CUMBERLAND",
            "state": "WI",
            "postal_code": "548298601",
            "telephone_number": "715-822-7301",
            "fax_number": "715-822-7301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ABIGAIL",
        "middle_name": "CHRISINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-02",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "deactivation_date": "2023-11-22",
        "reactivation_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "6466-154",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumberland, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.