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Klarissa Grissom

Speech-Language Pathologist β€’ Manassas, VA

Active NPI 1740992254 Individual Practitioner Female Practitioner
Practice location in NPPES

14800 Joplin Rd
Manassas, VA 201123909

Call 7037918081 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

14800 Joplin Rd

Manassas, VA 201123909

Telephone 7037918081
Organization at the Same NPPES Address or Phone
Prince William County Public Schools Facility NPI 1932167137

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

Enrolled in Medicare (PECOS)

Klarissa Grissom has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Compared with the same specialty in Manassas and Virginia

115 active clinicians are listed under Speech-Language Pathologist with a practice address in Manassas, VA (4,943 in Virginia).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Manassas

0.9% of these 115 clinicians have the CMS telehealth indicator.

4.3% of these 115 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: 2023-03-06
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES VA 2204001085

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 TX 119604

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: Virginia Department of Health Professions.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - QUALIFIED SPEECH LANGUAGE PATHOLOGIST

Medicare Enrollment ID

I20241228000055

Enrollment State Jurisdiction

TX

PECOS Control ID

6204363427

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

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 March 15, 2023

Registered at 14800 JOPLIN RD, MANASSAS, VA 201123909 (Tel: 7037918081)

πŸ“
Updated Business Mailing Address March 15, 2023

Registered at 4025 HUFFINES BLVD APT 2205, CARROLLTON, TX 750106560 (Tel: 3149142211)

βœ…
NPI Profile Active December 15, 2022

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) December 15, 2022

Registered at 3601 MAPLESHADE LN, PLANO, TX 750755753 (Tel: 4692419100)

πŸ“
Business Mailing Address (Initial Record) December 15, 2022

Registered at 3601 MAPLESHADE LN, PLANO, TX 750755753

πŸ‘€
Provider Name / Credentials (Initial Record) December 15, 2022

Recorded as KLARISSA GRISSOM

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 15, 2022

Speech-Language Pathologist (license number reported to NPPES: TX 119604)

🟒
Initial NPI Registration & Enumeration December 15, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1740992254
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 15, 2022
Last Update: March 15, 2023
Sole Proprietor: No

Other Speech-Language Pathologists in Manassas

Healthcare providers in Manassas

Mailing Address

4025 Huffines Blvd Apt 2205

Carrollton, TX 750106560

Phone: 3149142211

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.