Kailey Breanne Johnston, M.A. CCC-SLP
NPI 1902752207ActiveIndividual· Speech-Language Pathologist· Clinton Township, MI
Speech-Language Pathologist (M.A. CCC-SLP) in Clinton Township, Michigan, trained at Wayne State University School of Medicine (class of 2025). Enrolled in Medicare as practitioner - qualified speech language pathologist.
Overview
| NPI | 1902752207 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.A. CCC-SLP |
| Sole proprietor | No |
| NPI issued | Mar 9, 2026 |
| Last updated in NPPES | Mar 9, 2026 |
| Certified by provider | Mar 9, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | 14546363 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Qualified Speech Language Pathologist (MI) |
|---|
Education and affiliations
| Medical school | Wayne State University School of Medicine |
|---|---|
| Graduation year | 2025 |
| Medicare specialty | Qualified Speech Language Pathologist |
Medical group
- Crawl Walk Jump Run Therapy Clinic LLCClinton Township, MI · 12 clinicians
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All 46 speech-language pathologists in Clinton Township · All speech-language pathologists in Michigan