Active NPI
Abigail Chrisine Johnson
- Speech-Language Pathologist
- Cumberland, WI
National Provider Identifier
1457927261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 6466-154
- 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, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mjcare, Inc. | Current | Accepting new patients | |
| Center for Speech, Language and Learning, Inc. | Speech-Language Pathologist | Past | 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. | Past | Accepting new patients |
Locations
2725 S Moorland Rd
Ste 301
New Berlin, WI 53151
Phone (414) 329-2428
Interoperability endpoints
- 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.
-
- Critical Access Hospital
- Cumberland, WI
- NPI 1831243757
-
- Rehabilitation Clinic/Center
- Milwaukee, WI
- NPI 1316908908
-
- Critical Access Hospital
- Grantsburg, WI
- NPI 1225191687
-
dba Burnett Medical Center
- Rural Health Clinic/Center
- Grantsburg, WI
- NPI 1356499784
-
dba Center for Speech Language Lea
- Speech-Language Pathologist
- Oakdale, MN
- NPI 1164588307
-
- Hearing and Speech Clinic/Center
- Oakdale, MN
- NPI 1588592471
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.