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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JODIE WALLIS CLC, MS, CCC-SLP
NPI 1154934172
Speech-Language Pathologist in Saint Peters, MO

Active since August 28, 2020
1600 HERITAGE LNDG STE 201, SAINT PETERS, MO 63303(636) 748-0170 Get Directions Write a Review

NPPES record last updated: July 21, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2026, Dec 12, 2023, Mar 23, 2023 and 2 more (5 updates tracked since 2020).

About Jodie Wallis Clc, Ms, Ccc-slp NPPES

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

JODIE WALLIS CLC, MS, CCC-SLP (NPI 1154934172) is an individual speech-language pathologist provider in Saint Peters, Missouri and active in the NPI registry since August 2020.

NPPES Registry Identity

NPI1154934172
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameJODIE WALLISCredential: CLC, MS, CCC-SLP
Location Address1600 HERITAGE LNDG STE 201Saint Peters, MO 63303-8488
Mailing Address1600 Heritage Lndg Ste 201Saint Peters, MO 63303-8488 · (636) 748-0170
Phone(636) 748-0170
Sole ProprietorNo
Enumeration DateAugust 28, 2020
Last NPPES UpdateJuly 21, 20265 updates tracked since enumeration
NPPES CertifiedJuly 21, 2026
✔ NPI 1154934172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
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.
Also ListedLactation Consultant, Non-RNTaxonomy 174N00000X · License L-322721
1600 HERITAGE LNDG STE 201, Saint Peters, MO 63303
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Other Providers at the Same Location NPPES 2

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

KEVIN HERBERT LPC
Counselor
1600 HERITAGE LNDG STE 201
SAINT PETERS, MO 63303
St. Charles County (636) 219-5432
FLOURISHING KIDS THERAPY & LACTATION LLC
Speech-Language Pathologist
1600 HERITAGE LNDG STE 201
SAINT PETERS, MO 63303
St. Charles County (636) 748-0170

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 Jodie Wallis's NPI number?

The NPI number for Jodie Wallis is 1154934172. It was assigned to this individual provider in the NPPES registry on August 28, 2020.

Where is Jodie Wallis located?

Jodie Wallis practices at 1600 Heritage Lndg Ste 201, Saint Peters, MO 63303. The listed phone number is (636) 748-0170.

What is Jodie Wallis's specialty?

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

When was this NPI record last updated?

The NPPES record for Jodie Wallis was last updated on July 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days 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.