Rita Ellen Mourisse, MA, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146009090 Issued in IL

Practice address

231 Darden LN
Washington, IL 61571-9415

Phone

(309) 292-7248

NPI assigned

Aug 31, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1630368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1538837190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 DARDEN LN",
            "city": "WASHINGTON",
            "state": "IL",
            "postal_code": "615719415",
            "telephone_number": "309-292-7248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 DARDEN LN",
            "city": "WASHINGTON",
            "state": "IL",
            "postal_code": "615719415",
            "telephone_number": "309-292-7248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOURISSE",
        "first_name": "RITA",
        "middle_name": "ELLEN",
        "name_prefix": "Mrs.",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-31",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146009090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nikki Lynn Miller, APN
• Rhett Miller
• Michael C Moon, DDS
• Lee Eugene Moore, DDS
• James C. Mosbach, D.C.
• Martha J. Muller
• Marie L Mullins, LCPC, CDE
• Kurt R Neelly, P. T.
• Stephanie Nelson
• Next Step Training, LTD.

• Speech-Language Pathologist in Washington, IL
• Providers in Washington, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; 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.