Jennifer Lynn Johnson, M.S.CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

KY3383 Issued in KY

Practice address

376 Pascoe Blvd
Apt 22
Bowling Green, KY 42104-5455

Phone

(270) 535-2639

NPI assigned

Mar 27, 2010

Last updated

Mar 27, 2010By the provider in NPPES

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

Enrolled in KY

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Defying Dementia LLCGroup PAC ID 6406335553, 7 clinicians

Empowerme Rehabilitation Kentucky, LLCGroup PAC ID 1850729211, 108 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Empowerme Rehabilitation Kentucky, LLC

  • Multi-Specialty Clinic/Center
  • Lexington, KY
  • NPI 1275166696

  Speech-Language Pathologist

  Medicare reassignment Care Compare group NPD
• Defying Dementia LLC

  dba Therapy Together

  • Speech-Language Pathologist
  • Bowling Green, KY
  • NPI 1861201600
  Medicare reassignment Care Compare group
• Empowerme Rehabilitation Kentucky, LLC

  • Rehabilitation Clinic/Center
  • Florence, KY
  • NPI 1669195640
  NPD

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

{
    "created_epoch": "1269648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269648000000",
    "number": "1568787018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "376 PASCOE BLVD",
            "address_2": "APT 22",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421045455",
            "telephone_number": "270-535-2639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "376 PASCOE BLVD",
            "address_2": "APT 22",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421045455",
            "telephone_number": "270-535-2639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "M.S.CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-27",
        "last_updated": "2010-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "KY3383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heidi Johnson
• Jean M Johnson
• Jennifer Johnson
• Jennifer Johnson, LCSW
• Jennifer L Johnson
• Juanita G Johnson, OT
• Lydia Johnson
• Matthew J Johnson, PT
• Michaela Dawn Johnson, APRN
• Nathan Layne Johnson

• Speech-Language Pathologist in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Speech-Language Pathologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.