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

Jennifer Lynn Johnson, MSCCC-SLP

Individual provider Speech-Language Pathologist · NPI 1568787018

Jennifer Lynn Johnson, MSCCC-SLP is a Qualified Speech Language Pathologist in Bowling Green, Kentucky. Qualified in 2005, 21 years ago. Practices with Defying Dementia LLC, a 7-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
21
Licensed in
KY
In the registry since
2010

Practice location Address checks out

376 Pascoe Blvd Apt 22
Bowling Green, KY 42104-5455
Phone: (270) 535-2639
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 KY3383 (KY)

Record details

NPI number1568787018
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCC-SLP
Sole proprietorYes
NPI enumeratedMarch 27, 2010
Last updated in NPPESMarch 27, 2010

Medicare enrollment

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

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Defying Dementia Llc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Bowling Green