Mary Lou B Johnson, M.S.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP.0000509 Issued in CO

Practice address

9139 Ridgeline Blvd
100
Highlands Ranch, CO 80129-2333

Phone

(720) 478-2370

Fax

(720) 478-7069

NPI assigned

Jan 17, 2017

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

Other names 1

• Ms. Mary Louise Brecht Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1484611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484611200000",
    "number": "1669918421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9139 RIDGELINE BLVD",
            "address_2": "100",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801292333",
            "telephone_number": "720-478-2370",
            "fax_number": "720-478-7069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9139 RIDGELINE BLVD",
            "address_2": "100",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801292333",
            "telephone_number": "720-478-2370",
            "fax_number": "720-478-7069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MARY LOU",
        "middle_name": "B",
        "name_prefix": "Ms.",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-17",
        "last_updated": "2017-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "SLP.0000509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "BRECHT",
            "middle_name": "LOUISE",
            "prefix": "MS.",
            "credential": "M.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Andre Lyndon B Johnson, DO
• Emmanuel Andre Johnson, BT
• Jasmine Alexandria Johnson, DPT
• Katherine Kirkland Johnson, NP
• Lauren Diane Johnson, MS
• Robert Johnson
• Karla Johnston, M.T.
• Virginia Johnston, PT
• Jonathan D. Sierk, DDS, PC
• Amanda Marie Jones, DC

• Speech-Language Pathologist in Highlands Ranch, CO
• Providers in Highlands Ranch, CO by specialty
• Speech-Language Pathologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; 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.