Individual provider Active NPI

Lisa Miodowski, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Rochester Hills, MI
National Provider Identifier
1043894397
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7101005140 Issued in MI
Practice address
2737 New England Dr
Rochester Hills, MI 48309-2819
Phone
(586) 873-9967
NPI assigned
May 11, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 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 7101005140 MI Primary

Addresses

Primary practice location

2737 New England Dr
Rochester Hills, MI 48309-2819

Mailing address

2737 New England Dr
Rochester Hills, MI 48309-2819
Phone (586) 873-9967

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210527000390 MI Practitioner - Qualified Speech Language Pathologist 7719386572 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2737 New England Dr
Rochester Hills, MI 48309-2819
Phone (248) 509-4354

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7101005140MIMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Speech Empowerment Solutions LLC Speech-Language Pathologist CurrentSince Dec 10, 2025 Accepting new patients

Organizations & group practices 1

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": "1620691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762732800000",
    "number": "1043894397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2737 NEW ENGLAND DR",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483092819",
            "telephone_number": "586-873-9967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2737 NEW ENGLAND DR",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483092819",
            "telephone_number": "586-873-9967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIODOWSKI",
        "first_name": "LISA",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-11",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101005140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.