MRS. MALLORY BREANNE LIBBERT M.S., CCC-SLP
NPI 1619686391
Speech-Language Pathologist in Jasper, IN
About Mrs. Mallory Breanne Libbert M.s., Ccc-slp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. MALLORY BREANNE LIBBERT M.S., CCC-SLP (NPI 1619686391) is an individual speech-language pathologist provider in Jasper, Indiana, licensed in Indiana (22006418A) and active in the NPI registry since November 2022. She is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Mrs. Mallory Breanne Libbert M.s., 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.
Medicare Billing Reassignment
Medicare enrollment records show Mallory Libbert reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Jasper, IN 47546
- Reassigned Medicare billing, Indiana enrollment
- 7 clinicians in this Medicare group
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
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.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Mallory Libbert's NPI number?
The NPI number for Mallory Libbert is 1619686391. It was assigned to this individual provider in the NPPES registry on November 21, 2022.
Where is Mallory Libbert located?
Mallory Libbert practices at 3150 Saint Charles St, Jasper, IN 47546. The listed phone number is (812) 634-6570.
What is Mallory Libbert's specialty?
The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.
Is Mallory Libbert enrolled in Medicare?
Yes. Mallory Libbert 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 Mallory Libbert's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mallory Libbert reassigns Medicare benefits to Legacy Therapy And Rehabilitation LLC (Jasper, IN). 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 Mallory Libbert's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mallory Libbert accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Mallory Libbert as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Mallory Libbert was last updated on November 21, 2022. 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.
# Mrs. Mallory Breanne Libbert, M.S., CCC-SLP · NPI 1619686391
Speech-Language Pathologist provider in Jasper, Indiana. Individual provider, active in the CMS NPPES registry since November 21, 2022.
## Identity
- **NPI:** 1619686391 (Entity type: Individual)
- **Enumerated:** November 21, 2022
- **Primary specialty:** Speech-Language Pathologist · taxonomy 235Z00000X
- **State license:** 22006418A (Indiana)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3150 SAINT CHARLES ST, Jasper, IN 47546-1858
- **Phone:** (812) 634-6570 · **Fax:** (812) 634-7919
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Legacy Therapy And Rehabilitation LLC (NPI 1023743614, Jasper, IN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** November 21, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1619686391) · Data from the CMS NPPES public registry.