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Carissa Johnson , MS, CCC

Speech-Language Pathologist β€’ Lithia, FL

Active NPI 1952499212 Individual Practitioner Female Practitioner
Practice location in NPPES

5207 Granite Ridge Dr
Lithia, FL 335471845

Call 8132202730 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

5207 Granite Ridge Dr

Lithia, FL 335471845

Telephone 8132202730
Organization at the Same NPPES Address or Phone
Play On Words Therapy Solutions Facility NPI 1942913447

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Lithia and Florida

8 active clinicians are listed under Speech-Language Pathologist with a practice address in Lithia, FL (11,513 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-10-03
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES FL SA7318

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Developmental Therapist

NUCC Taxonomy Code: 222Q00000X

A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
812018800 (FL)
Medicaid ID
889202400 (FL)
Other Identifier Bc/bs Of Florida #
S2755 (FL)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location October 03, 2022

Registered at 5207 GRANITE RIDGE DR, LITHIA, FL 335471845 (Tel: 8132202730)

πŸ“
Updated Business Mailing Address October 03, 2022

Registered at 5207 GRANITE RIDGE DR, LITHIA, FL 335471845 (Tel: 8132202730)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 03, 2022

Developmental Therapist

βœ…
NPI Profile Active September 12, 2011

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 12, 2011

Registered at 602 VONDERBURG DR, SUITE 201, BRANDON, FL 335115900 (Tel: 8136531149)

πŸ“
Business Mailing Address (Initial Record) September 12, 2011

Registered at 602 VONDERBURG DR, SUITE 201, BRANDON, FL 335115900 (Tel: 8135531149)

πŸ‘€
Provider Name / Credentials (Initial Record) September 12, 2011

Recorded as CARISSA JOHNSON, M.S., C.C.C.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 12, 2011

Speech-Language Pathologist (license number reported to NPPES: FL SA7318)

🟒
Initial NPI Registration & Enumeration October 11, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1952499212
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 11, 2006
Last Update: October 03, 2022
Sole Proprietor: No

Mailing Address

5207 Granite Ridge Dr

Lithia, FL 335471845

Phone: 8132202730

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.