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Alysse Zittnan Thibodeau , MA CCC-SLP

Speech-Language Pathologist β€’ Bloomington, MN

Active NPI 1437437753 Individual Practitioner Female Practitioner
Practice location in NPPES

1350 W 106th St
Bloomington, MN 554314126

Call 9526816522 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

1350 W 106th St

Bloomington, MN 554314126

Telephone 9526816522
Organization at the Same NPPES Address or Phone
Bloomington Public Schools Facility NPI 1538251103

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

NPI first issued

2011

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 Minnesota

44 active clinicians are listed under Speech-Language Pathologist with a practice address in Bloomington, MN (3,083 in Minnesota).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Bloomington

0% of these 44 clinicians have the CMS telehealth indicator.

2.3% of these 44 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: 2026-05-11
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES MN 452620

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: Minnesota Board of Medical Practice.
Look Up on State Board Site

Career & Practice History Timeline

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

8 Historical Events
πŸ“
Updated Practice Location May 11, 2026

Registered at 1350 W 106TH ST, BLOOMINGTON, MN 554314126 (Tel: 9526816522)

πŸ“
Updated Business Mailing Address May 11, 2026

Registered at 1350 W 106TH ST, BLOOMINGTON, MN 554314126 (Tel: 9526816522)

βœ…
NPI Profile Active August 19, 2014

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 19, 2014

Registered at 3001 HARBOR LN. N., SUITE 120, PLYMOUTH, MN 55447 (Tel: 7635513652)

πŸ“
Business Mailing Address (Initial Record) August 19, 2014

Registered at 3001 HARBOR LN. N., SUITE 120, PLYMOUTH, MN 55447 (Tel: 7635513652)

πŸ‘€
Provider Name / Credentials (Initial Record) August 19, 2014

Recorded as ALYSSE THIBODEAU, M.A. CCC-SLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 19, 2014

Speech-Language Pathologist (license number reported to NPPES: MN 452620)

🟒
Initial NPI Registration & Enumeration August 03, 2011

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1437437753
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 03, 2011
Last Update: May 11, 2026
Sole Proprietor: No

Mailing Address

1350 W 106th St

Bloomington, MN 554314126

Phone: 9526816522

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.