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Mackenzie Burris , MS CCC-SLP

Speech-Language Pathologist β€’ Belleville, IL

Active NPI 1306354162 Individual Practitioner Female Practitioner
Practice location in NPPES

1400 N Charles St
Belleville, IL 622214858

Call 6182333798 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

1400 N Charles St

Belleville, IL 622214858

Telephone 6182333798

NPI first issued

2018

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 Belleville and Illinois

88 active clinicians are listed under Speech-Language Pathologist with a practice address in Belleville, IL (10,226 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Belleville

0% of these 88 clinicians have the CMS telehealth indicator.

6.8% of these 88 clinicians are listed by CMS as accepting Medicare assignment.

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: 2022-08-29
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES IL 242006252

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.

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: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Career & Practice History Timeline

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

13 Historical Events
πŸ“
Updated Practice Location August 29, 2022

Registered at 1400 N CHARLES ST, BELLEVILLE, IL 622214858 (Tel: 6182333798)

πŸ“
Updated Business Mailing Address August 29, 2022

Registered at 1400 N CHARLES ST, BELLEVILLE, IL 622214858

πŸ‘€
Provider Name / Credentials Updated August 29, 2022

Recorded as MACKENZIE BURRIS, MS CCC-SLP

πŸ“
Updated Practice Location August 18, 2021

Registered at 40 SIGNAL HILL PL, BELLEVILLE, IL 622231644 (Tel: 6189703253)

πŸ“
Updated Business Mailing Address August 18, 2021

Registered at 40 SIGNAL HILL PL, BELLEVILLE, IL 622231644

πŸ‘€
Provider Name / Credentials Updated August 18, 2021

Recorded as MACKENZIE BURRIS, MS CF-SLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 18, 2021

Speech-Language Pathologist (license number reported to NPPES: IL 242006252)

βœ…
NPI Profile Active January 15, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) January 15, 2018

Registered at 634 N MAIN ST STE 4, O FALLON, IL 622693746 (Tel: 6187265870)

πŸ“
Business Mailing Address (Initial Record) January 15, 2018

Registered at 21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 913677807

πŸ‘€
Provider Name / Credentials (Initial Record) January 15, 2018

Recorded as MACKENZIE BURRIS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 15, 2018

Behavior Technician (license number reported to NPPES: IL 00004028)

🟒
Initial NPI Registration & Enumeration January 15, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1306354162
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 15, 2018
Last Update: August 29, 2022
Sole Proprietor: No

Other Speech-Language Pathologists in Belleville

All Speech-Language Pathologists in Belleville

Mailing Address

1400 N Charles St

Belleville, IL 622214858

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.