Individual provider Active NPI

Lauren Roshelle Vasquez, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Kentwood, MI
National Provider Identifier
1023866290
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
3361 36TH St SE
Kentwood, MI 49512-2809
Phone
(616) 301-8000
NPI assigned
May 10, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X MI Primary

Addresses

Primary practice location

3361 36TH St SE
Kentwood, MI 49512-2809

Mailing address

3361 36TH St SE
Kentwood, MI 49512-2809

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240822003793 MI Practitioner - Qualified Speech Language Pathologist 0446799332 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Network Behavioral Health Services Speech-Language Pathologist CurrentSince Sep 8, 2025 Accepting new patients
Behavioral Outcomes Management,LLC Speech-Language Pathologist CurrentSince Mar 26, 2025 Accepting new patients

Locations

2875 Eyde Pkwy
Ste 100
East Lansing, MI 48823
Phone (517) 512-4320

11172 Adams St
Holland, MI 49423
Phone (616) 510-2157

3361 36th St SE
Kentwood, MI 49512
Phone (616) 248-5201

14680 Newburgh Rd
Livonia, MI 48154
Phone (616) 558-5021

11652 W Grand River Ave
Lowell, MI 49331
Phone (616) 897-2956

210 Town Center Dr
Troy, MI 48084
Phone (248) 643-8900

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1715299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1023866290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3361 36TH ST SE",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495122809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3361 36TH ST SE",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495122809",
            "telephone_number": "616-301-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASQUEZ",
        "first_name": "LAUREN",
        "middle_name": "ROSHELLE",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-10",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kentwood, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.