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Megan Ann Grissom-Dubenco , MS, CCC-SLP

Speech-Language Pathologist β€’ Bloomington, IL

Active NPI 1831697465 Individual Practitioner Female Practitioner
Practice location in NPPES

473 W Army Trail Rd
Bloomington, IL 601082674

Call 2245208562 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

473 W Army Trail Rd

Bloomington, IL 601082674

Telephone 2245208562
Fax 2153181772
Organization at the Same NPPES Address or Phone
Midwest Speech Therapy, Pc Facility NPI 1154780740

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

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Las Vegas, NV. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

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 Bloomington and Illinois

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

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Bloomington

0% of these 62 clinicians have the CMS telehealth indicator.

1.6% of these 62 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: 2022-11-18
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES IL 146014880

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.

Speech-Language Pathologist

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES NV SP-2076

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

Secondary Practice Locations

7425 W Azure Dr Ste 140

Las Vegas, NV 891304425

Phone: 7025154009

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 November 18, 2022

Registered at 473 W ARMY TRAIL RD, BLOOMINGTON, IL 601082674 (Tel: 2245208562)

πŸ“
Updated Business Mailing Address November 18, 2022

Registered at 473 W ARMY TRAIL RD, SUITE 107, BLOOMINGTON, IL 601082674 (Tel: 2245208562)

πŸ‘€
Provider Name / Credentials Updated November 18, 2022

Recorded as MEGAN GRISSOM-DUBENCO, M.S., CCC-SLP

βœ…
NPI Profile Active January 29, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) January 29, 2018

Registered at 2560 MONTESSOURI ST STE 113, LAS VEGAS, NV 891173063 (Tel: 7026863008)

πŸ“
Business Mailing Address (Initial Record) January 29, 2018

Registered at 8986 OREANA PEAK CT, LAS VEGAS, NV 891481386

πŸ‘€
Provider Name / Credentials (Initial Record) January 29, 2018

Recorded as MEGAN GRISSOM, CCC-SLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 29, 2018

Speech-Language Pathologist (license number reported to NPPES: NV SP-2076)

🟒
Initial NPI Registration & Enumeration January 29, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1831697465
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 29, 2018
Last Update: November 18, 2022
Sole Proprietor: No

Mailing Address

473 W Army Trail Rd, Suite 107

Bloomington, IL 601082674

Phone: 2245208562

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.