Individual provider Active NPI

Brenda J. Vicen, MS/CCC-SLP

  • Speech-Language Pathologist
  • Madison, WI
National Provider Identifier
1114984598
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1421-154 Issued in WI
Practice address
14 Ellis Potter CT
Suite 200
Madison, WI 53711-2478
Phone
(608) 204-6242
Fax
(608) 204-6249
NPI assigned
Apr 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 1421-154 WI Primary

Addresses

Primary practice location

14 Ellis Potter CT
Suite 200
Madison, WI 53711-2478

Mailing address

204 Vista Dr
Cottage Grove, WI 53527-9370
Phone (608) 839-5575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1421-154WIMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1114984598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 VISTA DR",
            "city": "COTTAGE GROVE",
            "state": "WI",
            "postal_code": "535279370",
            "telephone_number": "608-839-5575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 ELLIS POTTER CT",
            "address_2": "SUITE 200",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537112478",
            "telephone_number": "608-204-6242",
            "fax_number": "608-204-6249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICEN",
        "first_name": "BRENDA",
        "middle_name": "J.",
        "credential": "MS/CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-28",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "1421-154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.