Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cassidy Johnson, MSCCC-SLP

Individual provider Speech-Language Pathologist · NPI 1619729761

Cassidy Johnson, MSCCC-SLP is a Speech-Language Pathologist in Kansas City, Missouri. Practices as a sole proprietor. Licensed in Kansas and Missouri.

Licensed in
KS, MO
In the registry since
2024
Specialties on file
2

Practice location Address checks out

12601 N Agnes Ave
Kansas City, MO 64166-1042
Phone: (816) 405-7940
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 2022037486 (MO)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 5345 (KS)

Record details

NPI number1619729761
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCC-SLP
Sole proprietorYes
NPI enumeratedApril 2, 2024
Last updated in NPPESApril 2, 2024
Certification dateApril 2, 2024

Other providers in Kansas City