MICHELLE ANN MASON JOHNCK MA, CCC-SLP
NPI 1104589886
Speech-Language Pathologist in Sacramento, CA

Q: What is Michelle Mason Johnck's NPI number?

The NPI number for Michelle Mason Johnck is 1104589886. It was assigned to this individual provider in the NPPES registry on October 19, 2021.

Q: What is Michelle Mason Johnck's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Active since October 19, 2021

5301 F STREET, SACRAMENTO, CA 95819 Get Directions Write a Review

NPPES record last updated: October 19, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Michelle Ann Mason Johnck Ma, Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHELLE ANN MASON JOHNCK MA, CCC-SLP (NPI 1104589886) is an individual speech-language pathologist provider in Sacramento, California, licensed in California (23262) and active in the NPI registry since October 2021.

NPPES Registry Identity

NPI1104589886

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameMICHELLE ANN MASON JOHNCKCredential: MA, CCC-SLP

Location Address5301 F STREETSacramento, CA 95819

Mailing Address19173 W Ridge DrPenn Valley, CA 95946-9486 · (512) 550-6098

Sole ProprietorNo

Enumeration DateOctober 19, 2021

NPPES CertifiedOctober 2, 2021

✔ NPI 1104589886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

License✔ Licensed in CA · 23262

Definition

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.

5301 F STREET, Sacramento, CA 95819

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michelle Ann Mason Johnck Ma, Ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Michelle Mason Johnck reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc

39 mi

Internal Medicine

7373 WEST LANE
Stockton, CA 95210

Reassigned Medicare billing, California enrollment
20,078 clinicians in this Medicare group

NPI 1548343510 (209) 476-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure for a range of mental processes, each additional 15 minutes 97130

This therapy procedure focuses on improving mental processes. Each additional 15-minute segment allows for a deeper understanding of your thoughts, feelings, and behaviors. The goal is to enhance your mental well-being and overall quality of life.

445 services17 patients

Therapy procedure for a range of mental processes, initial 15 minutes 97129

This therapy session, lasting 15 minutes, focuses on improving your mental processes. It's an initial step towards understanding your mental health needs. The therapist will engage in conversation, listen to your concerns, and help identify areas for improvement.

177 services18 patients

Treatment of speech, language, voice, communication, and/or hearing processing disorder 92507

This treatment involves working with a specialist to improve communication skills. It could involve exercises to enhance speech clarity, language understanding, voice volume, or hearing comprehension. The goal is to enhance your ability to express and understand others effectively.

105 services11 patients

Test to assess the ability to complete specific functional tasks applicable to environment 96125

This is a test that measures your ability to perform certain tasks that are relevant to your daily life and environment. It evaluates how well you can manage activities like cooking, cleaning, or shopping. It doesn't involve any invasive procedures.

11 services11 patients

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. POWELL O. JOSE M.D.

Internal Medicine (Cardiovascular Disease)

5301 F STREET, #117
SACRAMENTO, CA 95819

Sacramento County (916) 733-1788

LJ WOLFF MEDICAL CORPORATION

Internal Medicine (Clinical Cardiac Electrophysiology)

5301 F STREET, SUITE 111
SACRAMENTO, CA 95819

Sacramento County (916) 451-5603

NARUHITO WATANABE M.D.

Thoracic Surgery (Cardiothoracic Vascular Surgery)

5301 F STREET, SUITE 213
SACRAMENTO, CA 95819

Sacramento County (916) 733-1400

ARVIN ARTHUR MD

Internal Medicine (Cardiovascular Disease)

5301 F STREET, SUITE 207
SACRAMENTO, CA 95819

Sacramento County (916) 452-2011

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michelle Mason Johnck's NPI number?

The NPI number for Michelle Mason Johnck is 1104589886. It was assigned to this individual provider in the NPPES registry on October 19, 2021.

Where is Michelle Mason Johnck located?

Michelle Mason Johnck practices at 5301 F Street, Sacramento, CA 95819.

What is Michelle Mason Johnck's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Michelle Mason Johnck enrolled in Medicare?

Yes. Michelle Mason Johnck is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Michelle Mason Johnck's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Mason Johnck reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michelle Mason Johnck's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Michelle Mason Johnck was last updated on October 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.