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Mallory Noel Johnson

Speech-Language Pathologist β€’ Decatur, IL

Active NPI 1144944695 Individual Practitioner Female Practitioner
Practice location in NPPES

335 E Cerro Gordo St
Decatur, IL 625231013

Call 2173623055 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

335 E Cerro Gordo St

Decatur, IL 625231013

Telephone 2173623055
Organization at the Same NPPES Address or Phone
Macon Piatt County Spec Ed Dist Facility NPI 1073979092

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

NPI first issued

2022

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 Decatur and Illinois

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

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Decatur

0% of these 54 clinicians have the CMS telehealth indicator.

5.6% of these 54 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: 2025-05-14
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

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

7 Historical Events
πŸ‘€
Provider Name / Credentials Updated May 14, 2025

Recorded as MALLORY JOHNSON

βœ…
NPI Profile Active September 28, 2022

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 28, 2022

Registered at 335 E CERRO GORDO ST, DECATUR, IL 625231013 (Tel: 2173623055)

πŸ“
Business Mailing Address (Initial Record) September 28, 2022

Registered at 335 E CERRO GORDO ST, DECATUR, IL 625231013 (Tel: 2173623055)

πŸ‘€
Provider Name / Credentials (Initial Record) September 28, 2022

Recorded as MALLORY BAKER

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 28, 2022

Speech-Language Pathologist

🟒
Initial NPI Registration & Enumeration September 28, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1144944695
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 28, 2022
Last Update: May 14, 2025
Sole Proprietor: No

Mailing Address

335 E Cerro Gordo St

Decatur, IL 625231013

Phone: 2173623055

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.