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MARY JO SCANNELL CCC-SLP
NPI 1710343892
Speech-Language Pathologist in Louisville, KY

Active since January 05, 2016Accepts Medicare Assignment
4501 LOUISE UNDERWOOD WAY, LOUISVILLE, KY 40216(502) 368-2348 Get Directions Write a Review

NPPES record last updated: April 10, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mary Jo Scannell Ccc-slp NPPES

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

MARY JO SCANNELL CCC-SLP (NPI 1710343892) is an individual speech-language pathologist provider in Louisville, Kentucky, licensed in Kentucky (23404) and active in the NPI registry since January 2016. She is a graduate of University Of Louisville School Of Medicine (2010).

NPPES Registry Identity

NPI1710343892
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMARY JO SCANNELLCredential: CCC-SLP
Location Address4501 LOUISE UNDERWOOD WAYLouisville, KY 40216-3987
Mailing Address9218 Artis WayLouisville, KY 40291-6718
Phone(502) 368-2348
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 2010
Enumeration DateJanuary 5, 2016
Last NPPES UpdateApril 10, 2018
✔ NPI 1710343892 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 KY · 23404
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.
4501 LOUISE UNDERWOOD WAY, Louisville, KY 40216
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Other Identifiers 1

Medicaid7100445890KY

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

Mary Jo Scannell 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 ID2860755097
PECOS Enrollment IDI20180420001456

Medicare Billing Reassignment

Medicare enrollment records show Mary Jo Scannell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Commonwealth Of Kentucky
Same address
Multi-Specialty
4501 LOUISE UNDERWOOD WAY
Louisville, KY 40216
  • Reassigned Medicare billing, Kentucky enrollment
  • 32 clinicians in this Medicare group
NPI 1326467986 (502) 363-8421

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.

COMMONWEALTH OF KENTUCKY
Occupational Therapy Assistant
4501 LOUISE UNDERWOOD WAY
LOUISVILLE, KY 40216
Jefferson County (502) 368-2348
MR. STEVEN POWELL PT
Physical Therapist
4501 LOUISE UNDERWOOD WAY
LOUISVILLE, KY 40216
Jefferson County (502) 368-2348
JANICE MARIE BURNETT
Dentist
4501 LOUISE UNDERWOOD WAY
LOUISVILLE, KY 40216
Jefferson County (502) 368-2348
DR. KRISTIN R COMPTON DMD
Dentist (General Practice)
4501 LOUISE UNDERWOOD WAY
LOUISVILLE, KY 40216
Jefferson County (502) 368-2348
JILL PATRICK PT, DPT
Physical Therapist
4501 LOUISE UNDERWOOD WAY
LOUISVILLE, KY 40216
Jefferson County (502) 368-2348
JENNA ELIZABETH WAIZ OT
Occupational Therapist
4501 LOUISE UNDERWOOD WAY
LOUISVILLE, KY 40216
Jefferson County (502) 368-2348
JENNIFER GORDON APRN
Nurse Practitioner (Psychiatric/Mental Health)
4501 LOUISE UNDERWOOD WAY
LOUISVILLE, KY 40216
Jefferson County (502) 368-2340
DR. HENRY DAVID HOOD D.M.D
Dentist (General Practice)
4501 LOUISE UNDERWOOD WAY
LOUISVILLE, KY 40216
Jefferson County (502) 368-2348

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 Mary Jo Scannell's NPI number?

The NPI number for Mary Jo Scannell is 1710343892. It was assigned to this individual provider in the NPPES registry on January 5, 2016.

Where is Mary Jo Scannell located?

Mary Jo Scannell practices at 4501 Louise Underwood Way, Louisville, KY 40216. The listed phone number is (502) 368-2348.

What is Mary Jo Scannell's specialty?

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

Is Mary Jo Scannell enrolled in Medicare?

Yes. Mary Jo Scannell 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 Mary Jo Scannell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Jo Scannell reassigns Medicare benefits to Commonwealth Of Kentucky (Louisville, KY). 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 Mary Jo Scannell'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 Mary Jo Scannell was last updated on April 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.