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ANNIKA JOHNSON
NPI 1235063009
Speech-Language Pathologist in White Bear Lake, MN

Active since June 09, 2026
2555 COUNTY ROAD E E # 102, WHITE BEAR LAKE, MN 55110(651) 683-2953 Get Directions Write a Review

NPPES record last updated: June 9, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Annika Johnson NPPES

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

ANNIKA JOHNSON (NPI 1235063009) is an individual speech-language pathologist provider in White Bear Lake, Minnesota, licensed in Minnesota (CFDE-232) and active in the NPI registry since June 2026. She maintains a secondary practice location in Circle Pines and is a graduate of Other (2026).

NPPES Registry Identity

NPI1235063009
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameANNIKA JOHNSON
Location Address2555 COUNTY ROAD E E # 102White Bear Lake, MN 55110-4906
Mailing Address8893 Griggs AveCircle Pines, MN 55014-3731
Phone(651) 683-2953
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateJune 9, 2026
NPPES CertifiedJune 9, 2026
✔ NPI 1235063009 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 MN · CFDE-232
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.
2555 COUNTY ROAD E E # 102, White Bear Lake, MN 55110
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Secondary Practice Location 1

Location 16776 Lake Dr Ste 220Circle Pines, MN 55014-1192 · Phone (651) 784-7007

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Annika Johnson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID547726705
PECOS Enrollment IDI20260728003261

Medicare Billing Reassignment

Medicare enrollment records show Annika Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Advance Speech Therapy, LLC
7.7 mi
Speech-Language Pathologist
6776 LAKE DR, 220
Lino Lakes, MN 55014
  • Reassigned Medicare billing, Minnesota enrollment
  • 15 clinicians in this Medicare group
NPI 1215144654 (651) 784-7007

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

Other Providers at the Same Location NPPES 7

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

MRS. LAURA CHRISTINE HAFEMEYER PT
Physical Therapist
2555 COUNTY ROAD E E # 102
WHITE BEAR LAKE, MN 55110
Ramsey County (651) 683-2953
LOUISA WARREN
Speech-Language Pathologist
2555 COUNTY ROAD E E # 102
WHITE BEAR LAKE, MN 55110
Ramsey County (651) 683-2953
MICHAELA SCHUFT
Physical Therapist (Pediatrics)
2555 COUNTY ROAD E E # 102
WHITE BEAR LAKE, MN 55110
Ramsey County (651) 683-2953
HANNAH ROSE COSKRAN
Speech-Language Pathologist
2555 COUNTY ROAD E E # 102
WHITE BEAR LAKE, MN 55110
Ramsey County (651) 683-2953
SAMANTHA LYNN GODFREY
Speech-Language Pathologist
2555 COUNTY ROAD E E # 102
WHITE BEAR LAKE, MN 55110
Ramsey County (651) 683-2953
JILL DIMITRI ST
Speech-Language Pathologist
2555 COUNTY ROAD E E # 102
WHITE BEAR LAKE, MN 55110
Ramsey County (651) 683-2953
JESSICA DANIELLE BRIGGS
Speech-Language Pathologist
2555 COUNTY ROAD E E # 102
WHITE BEAR LAKE, MN 55110
Ramsey County (651) 784-7007

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 Annika Johnson's NPI number?

The NPI number for Annika Johnson is 1235063009. It was assigned to this individual provider in the NPPES registry on June 9, 2026.

Where is Annika Johnson located?

Annika Johnson practices at 2555 County Road E E # 102, White Bear Lake, MN 55110. The listed phone number is (651) 683-2953.

What is Annika Johnson's specialty?

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

Is Annika Johnson enrolled in Medicare?

Yes. Annika Johnson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Annika Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Annika Johnson reassigns Medicare benefits to Advance Speech Therapy, LLC (Lino Lakes, MN). 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 Annika Johnson'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 Annika Johnson was last updated on June 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.