Mallory Breanne Libbert, M.S., CCC-SLP
Speech-Language Pathologist · Jasper, IN
Mallory Breanne Libbert, M.S., CCC-SLP is a speech-language pathologist with a practice address in Jasper, Indiana, and NPI 1619686391, issued on Nov 21, 2022. Check the license (Indiana 22006418A, as entered in NPPES) with the Indiana board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Mallory Breanne Libbert
- Credential
- M.S., CCC-SLP
- Primary taxonomy
- Speech-Language Pathologist 235Z00000X
- License number
- 22006418A IN
Self-reported in NPPES; status is on the state search - Practice location
- 3150 Saint Charles St, Jasper, IN 47546
- Phone
- (812) 634-6570
- Enumerated
- Nov 21, 2022
- Record last updated
- Nov 21, 2022
- Fax
- (812) 634-7919
- Medicare enrollment
- Enrolled (PECOS I20230126000680); accepts Medicare assignment
- Entity
- Type 1 · individual
Also registered at 3150 Saint Charles St
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Allison BraunRegistered Nurse1124696273
- Lisa Dorsey, RNRegistered Nurse1821665464
- Aimee Hosler, RNAdministrator Registered Nurse1417524158
- Mariah JacobOccupational Therapy Assistant1770210395
Verify Mallory Breanne Libbert in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Indiana board licenses this profession
Search for license 22006418ACheck the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Legacy Therapy And Rehabilitation LLCJasper, IN
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
20 speech-language pathologist records list a practice address in Jasper
They are 20 of the 580 NPPES records with a practice address in Jasper, and 2,993 speech-language pathologist records in Indiana.
All 20 in Jasper → All 2,993 in Indiana → Every provider in Jasper →
Other speech-language pathologist records in Indiana
- Teresa AbbenhausGreenwood, IN1689153694
- Kristen Abbey, MS CF SLPIndianapolis, IN1043293319
- Shelley Abbott, M.A.,CCC-SLPRochester, IN1295875425
- Lily AbplanalpBatesville, IN1578342846
- Satyajit AcharyaBluffton, IN1801052857
- Brittany AckermanFishers, IN1306364849
- Angela Adams, MA, CCC/SLPNoblesville, IN1003127531
- Mollie Adams, M.A, CCC-SLPColumbus, IN1457729840
- Tenley AdamsFrankfort, IN1376051599
- Abby Adams StevensDanville, IN1962658716
Common questions
What is Mallory Breanne Libbert, M.S., CCC-SLP's NPI number?
Mallory Breanne Libbert, M.S., CCC-SLP's National Provider Identifier (NPI) is 1619686391, issued on Nov 21, 2022. An NPI identifies a provider in billing; it is not a license.
Where is Mallory Breanne Libbert, M.S., CCC-SLP located?
The NPPES record lists a practice address at 3150 Saint Charles St, Jasper, IN, 47546. Phone: (812) 634-6570. Providers update this record themselves, so call before visiting.
How can I verify Mallory Breanne Libbert, M.S., CCC-SLP's license?
NPPES lists Indiana license number 22006418A, as entered by the provider. Search the Indiana board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.