Ellen Johnson, M.S. , CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2024027124 Issued in MO

Practice address

2000 Interstate Dr
Wentzville, MO 63385-4725

Phone

(636) 445-5190

NPI assigned

Jan 12, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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": "1610409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1851980072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 INTERSTATE DR",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633854725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 INTERSTATE DR",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633854725",
            "telephone_number": "636-445-5190"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 S New Ballas Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631418221",
            "country_code": "US",
            "telephone_number": "314-251-6060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ELLEN",
        "credential": "M.S. , CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-12",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "MO",
            "license": "RBT-20-129406",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2024027124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Blei, D.C., LLC
• Laura L Jennings, RPH
• Diane Marie Jessen, O.D.
• Nathan M Johannsson, DDS
• Elizabeth Johnson, FNP
• Gregory M Johnson, DDS
• Marcia Michelle Johnson
• Summer Danielle Johnson, PSY.D.
• Braden S Johnston, LPC
• Lindsey Johnston, LPC

• Speech-Language Pathologist in Wentzville, MO
• Providers in Wentzville, MO by specialty
• Speech-Language Pathologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; 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.