Suzanne L Johnson, MS-CCC SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

14637 Stonehaven LN
Homer Glen, IL 60491-3483

Phone

(708) 466-4111

Fax

(708) 645-5687

NPI assigned

Jan 11, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Small Talk Communication LLC

  • Early Intervention Provider Agency
  • Homer Glen, IL
  • NPI 1255671855
  NPD (past) Authorized official

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770633976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14637 STONEHAVEN LN",
            "city": "HOMER GLEN",
            "state": "IL",
            "postal_code": "604913483",
            "telephone_number": "708-466-4111",
            "fax_number": "708-645-5687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14637 STONEHAVEN LN",
            "city": "HOMER GLEN",
            "state": "IL",
            "postal_code": "604913483",
            "telephone_number": "708-466-4111",
            "fax_number": "708-645-5687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SUZANNE",
        "middle_name": "L",
        "credential": "MS-CCC SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "09928235",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Scott Janiczak
• Patricia Jo Jatis, OTR/L
• Jean M. Garbolski DO SC
• Jamie L Johnson
• Jay Johnson, MPT
• Jacqueline Jones, PT, DPT
• Crystal Jacinda Joseph
• Pooja Joshi, M.A., LPC, NCC
• Joyce Rheinheimer PHD & Associates LTD
• Anne Kaeding

• Speech-Language Pathologist in Homer Glen, IL
• Providers in Homer Glen, 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 Jul 8, 2007; 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.