JACLYN KRISTENE JOHNSON (NPI# 1336753383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336753383 |
| Entity Type | Individual |
| Full Name | JACLYN KRISTENE JOHNSON |
| Credential | CCC-SLP |
| Practice Address |
1422 W Willow St Ste 101 Chicago IL 60642-8977 |
| Mailing Address |
15 S Throop St Apt 209 Chicago IL 60607-2522 |
| Practice Telephone | 7736727775 |
| Mailing Telephone | 6087802907 |
| Enumeration Date | 2020-09-06 |
| Last Update Date | 2020-09-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 242.005299 | IL | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013555812 | Jaclyn Anne Johnson | Licensed Practical Nurse | 370 Cedar Valley Rd, Poughkeepsie, NY 12603 | 2019-12-12 |
| 1598271173 | Jaclyn Johnson | Case Manager/Care Coordinator | 5955 Ridge Rd, Parma, OH 44129-3936 | 2017-12-19 |
| 1700300373 | Jaclyn Johnson | Optometrist | 14239 W Bell Rd Ste 216, Surprise, AZ 85374-2482 | 2017-07-26 |
| 1639699549 | Jaclyn Kristin Johnson | Licensed Practical Nurse | 1430 Wilkins Circle, Casper, WY 82601-1336 | 2017-06-21 |
| 1508248022 | Jaclyn Nicole Johnson | Dentist | 202 Tunnelton St, Ste 214, Kingwood, WV 26537-1452 | 2015-06-20 |
| 1154739977 | Jaclyn Johnson | Dental Hygienist | 1206 N Dolarway Rd, Suite 101, Ellensburg, WA 98926-8392 | 2014-07-24 |
| 1417195611 | Jaclyn Johnson | Specialist | 401 Cypress St, Manchester, NH 03103-3628 | 2009-01-26 |
| Street Address |
1422 W WILLOW ST STE 101 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60642-8977 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457812141 | Kaitlin Louisa Mcneill | Behavioral Analyst | 1422 W Willow St Ste 101, Chicago, IL 60642-8977 | 2019-03-26 |
| 1477169357 | Alyssa Katlin Book | Speech-Language Pathologist | 1422 W Willow St Ste 101, Chicago, IL 60642-8977 | 2020-09-16 |
| 1063027274 | Amanda Nicole Timmerman | Speech-Language Pathologist | 1422 W Willow St Ste 101, Chicago, IL 60642-8977 | 2020-09-14 |
| 1609408434 | Brooke Alexis Binner | Speech-Language Pathologist | 1422 W Willow St Ste 101, Chicago, IL 60642-8977 | 2020-02-10 |
| 1619518859 | Kila Marie Davis | Behavioral Analyst | 1422 W Willow St Ste 101, Chicago, IL 60642-8977 | 2019-09-30 |
| 1679121396 | Blair Valentine Palma | Speech-Language Pathologist | 1422 W Willow St Ste 101, Chicago, IL 60642-8977 | 2019-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134612542 | Lauren Gregorcy | Social Worker | 939 W. North Avenue, Suite 750, Chicago, Illinois, 6064, Office 720, Chicago, IL 60642 | 2018-06-11 |
| 1811409030 | Athletico Ltd | Physical Therapist | 819 W Blackhawk St, Ste 819b, Chicago, IL 60642 | 2017-10-27 |
| 1346759693 | Rachel Sherron | Counselor | 938 N Elston, #1, Chicago, IL 60642 | 2017-09-28 |
| 1639612831 | Empathic Resonance, LLC | Clinic/Center | 939 W North Ave Suite 750, Office 721, Chicago, IL 60642 | 2016-11-21 |
| 1053867317 | D Jamieson Brady | Dentist | 1249 N Greenview Ave Apt 1, Chicago, IL 60642 | 2016-08-28 |
| 1548646508 | Kathryn Lee | Massage Therapist | 742 N Ada St, Unit 1, Chicago, IL 60642 | 2015-07-31 |
| 1497149694 | Neda Bahrani | Family Medicine | 1460 N Halsted St Ste 401, Chicago, IL 60642 | 2015-03-25 |
| 1326439431 | Sarah Perez | Counselor | 1332 N. Cleaver St, Apt. 2rr, Chicago, IL 60642 | 2015-02-11 |
| 1780097105 | Michael Sotiriou | Dermatology | 1765 N Elston Ave Ste 110, Chicago, IL 60642 | 2014-06-03 |
| 1285067876 | Tyler Pere Choate | Speech-Language Pathologist | 400 N. May Street, Chicago, IL 60642 | 2013-08-19 |
| Find all providers in zip 60642 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| 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. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780285429 | Lily Heine | Speech-Language Pathologist | 1425 W Albion Ave Apt 3, Chicago, IL 60626-5022 | 2020-11-07 |
| 1164022588 | Mary Kate Zagotta | Speech-Language Pathologist | 555 W Kinzie St Apt 1608, Chicago, IL 60654-5847 | 2020-10-26 |
| 1134727134 | Madison Frazier | Speech-Language Pathologist | 1221 N Dearborn St Apt 1206n, Chicago, IL 60610-8377 | 2020-10-12 |
| 1336746809 | Karen M Olson | Speech-Language Pathologist | 4506 N Ashland Ave Apt 1s, Chicago, IL 60640-5445 | 2020-10-07 |
| 1609483072 | Claire Elaine Rayburn | Speech-Language Pathologist | 2142 W Walton St Apt 2, Chicago, IL 60622-4893 | 2020-09-29 |
| 1144837840 | Paige Avery Cianciolo | Speech-Language Pathologist | 1700 W 83rd St, Chicago, IL 60620-4621 | 2020-09-26 |
| 1558975565 | Leela A Rao | Speech-Language Pathologist | 1140 S Wabash Ave Apt 1609, Chicago, IL 60605-2330 | 2020-09-08 |
| 1457960155 | Anant Kaur Shergill | Speech-Language Pathologist | 3729 N Oakley Ave Unit 1, Chicago, IL 60618-4812 | 2020-07-28 |
| 1689283608 | Jamie Lynn Payne | Speech-Language Pathologist | 600 W Roosevelt Rd Ste 2e, Chicago, IL 60607-4912 | 2020-07-26 |
| 1144839242 | Shana Birger | Speech-Language Pathologist | 942 W Sheridan Rd Apt 3a, Chicago, IL 60613-6487 | 2020-07-24 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.