Alecia Marie Johnson, M.A. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

22005347A Issued in IN

Practice address

10316 Cotton Blossom Dr
Fishers, IN 46038-6558

Phone

(812) 614-6183

NPI assigned

Feb 21, 2015

Sex

Female

Sole proprietor

No

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 IN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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 and National Provider Directory roles.

• Thrive Therapy Solutions Inc

  • Hearing and Speech Clinic/Center
  • Fishers, IN
  • NPI 1720692718
  Medicare reassignment Authorized official
• Legacy Healthcare Services, Inc.

  • Physical Therapist
  • Kokomo, IN
  • NPI 1518069913

  Speech-Language Pathologist

  Medicare reassignment NPD
• Legacy Healthcare Services Inc

  • Physical Therapist
  • Cary, NC
  • NPI 1225879489

  Speech-Language Pathologist

  NPD

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

{
    "created_epoch": "1424476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1629460134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10316 COTTON BLOSSOM DR",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460386558",
            "telephone_number": "812-614-6183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10316 COTTON BLOSSOM DR",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460386558",
            "telephone_number": "812-614-6183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ALECIA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "M.A. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-21",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22005347A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Abbygaile Jesse
• Estefani R Jimenez-Mendoza
• Joel H Wilcox DDS LLC
• Johnson Home Services LLC (Golden Heart Senior Care)
• Brenda Johnson Kistler
• Danielle Alexandria Johnson, DC
• Erin Johnson, RN
• Jeremy Johnson
• Jontue Johnson
• Lauren Johnson, FNP

• Speech-Language Pathologist in Fishers, IN
• Providers in Fishers, IN by specialty
• Speech-Language Pathologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; 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.