Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Heidi Wynell Johnson, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1710137609

Heidi Wynell Johnson, CCC-SLP is a Qualified Speech Language Pathologist in Springfield, Illinois. Qualified in 2001, 25 years ago. Practices with SIU Physicians and Surgeons Inc, a 316-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
25
Licensed in
IL
In the registry since
2008
What do these letters mean?
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

3020 S 6th St
Springfield, IL 62703-5915
Phone: (217) 528-7541
Fax: (217) 789-2569
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 900 N 1st St, Springfield, IL 62702-3749 — (217) 528-7541

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 146007077 (IL)

Record details

NPI number1710137609
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorNo
NPI enumeratedSeptember 26, 2008
Last updated in NPPESMay 22, 2020
Certification dateMay 22, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Siu Physicians And Surgeons Inc — 316 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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