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MCKENZIE MARY MOK MA, CCC-SLP
NPI 1548503196
Speech-Language Pathologist in Johnston, IA

Active since April 02, 2013Accepts Medicare Assignment
5406 MERLE HAY RD, JOHNSTON, IA 50131(515) 727-8750(515) 727-8757 Get Directions Write a Review

NPPES record last updated: June 13, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mckenzie Mary Mok Ma, Ccc-slp NPPES

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

MCKENZIE MARY MOK MA, CCC-SLP (NPI 1548503196) is an individual speech-language pathologist provider in Johnston, Iowa, licensed in Illinois (146013507) and active in the NPI registry since April 2013. She is a graduate of Other (2012).

NPPES Registry Identity

NPI1548503196
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMCKENZIE MARY MOKCredential: MA, CCC-SLP
Location Address5406 MERLE HAY RDJohnston, IA 50131-1209
Mailing Address1604 West Roosevelt Rd., Room 413Chicago, IL 60607 · (773) 519-0624
Phone(515) 727-8750
Fax(515) 727-8757
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateApril 2, 2013
Last NPPES UpdateJune 13, 2023
NPPES CertifiedJune 5, 2023
✔ NPI 1548503196 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 IL · 146013507
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.
5406 MERLE HAY RD, Johnston, IA 50131
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Other Names 1

Former Name (1)Mckenzie Sauser

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mckenzie Mary Mok Ma, Ccc-slp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2961857834
PECOS Enrollment IDI20231012001487

Medicare Billing Reassignment

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

Board Of Trustees Of The University Of Illinois
222 mi
Family Medicine
405 CHARLES ST
Mt Morris, IL 61054
  • Reassigned Medicare billing, Illinois enrollment
  • 2,127 clinicians in this Medicare group
NPI 1033157755 (815) 734-6061

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 20

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

NICOLE D WILLIAMSON MS, CCC-SLP
Speech-Language Pathologist
5406 MERLE HAY RD
JOHNSTON, IA 50131
Polk County (515) 727-8750
ANDREA SIMECK PT
Physical Therapist
5406 MERLE HAY RD
JOHNSTON, IA 50131
Polk County (515) 727-8757
RACHEL J FRATZKE
Occupational Therapist
5406 MERLE HAY RD
JOHNSTON, IA 50131
Polk County (515) 727-8750
TAYLOR DAVISSON OT
Occupational Therapist
5406 MERLE HAY RD
JOHNSTON, IA 50131
Polk County (515) 727-8750
KAYLA BRADY
Physical Therapist
5406 MERLE HAY RD
JOHNSTON, IA 50131
Polk County (515) 727-8750
KELLY J BETSWORTH
Social Worker (Clinical)
5406 MERLE HAY RD
JOHNSTON, IA 50131
Polk County (515) 727-8750
MRS. CATIE BREANN UNGS OTR/L
Occupational Therapist
5406 MERLE HAY RD
JOHNSTON, IA 50131
Polk County (515) 727-8750
THE CHILDSERVE CLINIC INC
Pediatrics
5406 MERLE HAY RD
JOHNSTON, IA 50131
Polk County (515) 727-8750

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 Mckenzie Mok's NPI number?

The NPI number for Mckenzie Mok is 1548503196. It was assigned to this individual provider in the NPPES registry on April 2, 2013. The provider is also known as Mckenzie Sauser.

Where is Mckenzie Mok located?

Mckenzie Mok practices at 5406 Merle Hay Rd, Johnston, IA 50131. The listed phone number is (515) 727-8750.

What is Mckenzie Mok's specialty?

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

Is Mckenzie Mok enrolled in Medicare?

Yes. Mckenzie Mok is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Mckenzie Mok's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mckenzie Mok reassigns Medicare benefits to Board Of Trustees Of The University Of Illinois (Mt Morris, IL). 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 Mckenzie Mok'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 Mckenzie Mok was last updated on June 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.