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Brentlee Johnson , SLP

Speech-Language Pathologist β€’ Carterville, IL

Active NPI 1831662055 Individual Practitioner Female Practitioner
Practice location in NPPES

1106 Falcon Ct
Carterville, IL 629181771

Call 8709264319 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

1106 Falcon Ct

Carterville, IL 629181771

Telephone 8709264319

NPI first issued

2019

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 Carterville and Illinois

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

Addresses are self-reported to NPPES and may be out of date.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: 2021-09-23
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES AR 200968

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

10 Historical Events
πŸ“
Updated Practice Location September 23, 2021

Registered at 1106 FALCON CT, CARTERVILLE, IL 629181771 (Tel: 8709264319)

πŸ“
Updated Business Mailing Address September 23, 2021

Registered at 1106 FALCON CT, CARTERVILLE, IL 629181771 (Tel: 8709264319)

πŸ‘€
Provider Name / Credentials Updated September 23, 2021

Recorded as BRENTLEE JOHNSON, SLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 23, 2021

Speech-Language Pathologist (license number reported to NPPES: AR 200968)

βœ…
NPI Profile Active January 10, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) January 10, 2019

Registered at 3005 APACHE DR, JONESBORO, AR 724017432 (Tel: 8703360238)

πŸ“
Business Mailing Address (Initial Record) January 10, 2019

Registered at 3005 APACHE DR, JONESBORO, AR 724017432 (Tel: 8703360238)

πŸ‘€
Provider Name / Credentials (Initial Record) January 10, 2019

Recorded as BRENTLEE WEAVER, SLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 10, 2019

Speech-Language Pathologist (license number reported to NPPES: None 200425)

🟒
Initial NPI Registration & Enumeration January 10, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1831662055
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 10, 2019
Last Update: September 23, 2021
Sole Proprietor: Yes

Mailing Address

1106 Falcon Ct

Carterville, IL 629181771

Phone: 8709264319

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.