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MRS. MALLORY BREANNE LIBBERT M.S., CCC-SLP
NPI 1619686391
Speech-Language Pathologist in Jasper, IN

Active since November 21, 2022Accepts Medicare Assignment
3150 SAINT CHARLES ST, JASPER, IN 47546(812) 634-6570(812) 634-7919 Get Directions Write a Review

NPPES record last updated: November 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1619686391
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMRS. MALLORY BREANNE LIBBERTCredential: M.S., CCC-SLP
Location Address3150 SAINT CHARLES STJasper, IN 47546-1858
Mailing Address2131 W 5th AveJasper, IN 47546-9720 · (812) 827-1062
Phone(812) 634-6570
Fax(812) 634-7919
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateNovember 21, 2022
NPPES CertifiedNovember 21, 2022
✔ NPI 1619686391 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 IN · 22006418A
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.
3150 SAINT CHARLES ST, Jasper, IN 47546
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID6103297387
PECOS Enrollment IDI20230126000680

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.

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.
68 services23 patients

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.

ALLISON LEA BRAUN
Registered Nurse
3150 SAINT CHARLES ST
JASPER, IN 47546
Dubois County (812) 634-6570
GOOD SAMARITAN HOSPITAL
Skilled Nursing Facility
3150 SAINT CHARLES ST
JASPER, IN 47546
Dubois County (812) 634-6570
AIMEE HOSLER RN
Registered Nurse (Administrator)
3150 SAINT CHARLES ST
JASPER, IN 47546
Dubois County (812) 634-6570
MARIAH JACOB
Occupational Therapy Assistant
3150 SAINT CHARLES ST
JASPER, IN 47546
Dubois County (812) 504-2264
LISA DORSEY RN
Registered Nurse
3150 SAINT CHARLES ST
JASPER, IN 47546
Dubois County (812) 634-6570

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.

What insurance does Mallory Libbert accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian 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.