Huron Speech & Sensory Clinic PLLC
Organization Active NPI Speech-Language Pathologist · Bad Axe, MI
NPI 1124578737 · NPPES record last updated Dec 14, 2022
Key facts
- NPI
- 1124578737
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Legal business name
- HURON SPEECH & SENSORY CLINIC PLLC
- Practice address
- 128 W Huron Ave Ste H
Bad Axe, MI 48413-1177 - Phone
- (989) 269-7666
- Fax
- (989) 269-8234
- NPI assigned
- Oct 6, 2016
- Organization subpart
- No
Authorized official
- Name
- Jessica Ruth
- Title
- Office Manager
- Phone
- (989) 269-7666
Practitioners 3
-
Michael Felix Lupinski, MA.,CCC-SLP
-
Crysta Meissner, MA, CCC-SLP
-
Stacy Rae Sievert, OTR
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210311002095 | MI | Part B Supplier - Clinic/Group Practice | 2163838475 |
Receives reassigned benefits from 2 practitioners Practice locations: Bad Axe, MI |
National Provider Directory
Locations
128 W Huron Ave
Ste H
Bad Axe, MI 48413
Phone (989) 269-6666
110 E Huron Ave
Bad Axe, MI 48413
Phone (989) 269-7666
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist |
235Z00000X | 7101000089 | MI | |
| Speech-Language Pathologist |
235Z00000X | Yes |
Addresses
Primary practice location
128 W Huron Ave Ste H
Bad Axe, MI 48413-1177
Mailing address
128 W Huron Ave Ste H
Bad Axe, MI 48413-1177
Phone (989) 269-7666
Other providers in Bad Axe, MI
- Huron Memorial Hospital
- Huron Memorial Hospital
- Huron Memorial Hospital
- Huron Memorial Hospital Employed Physicians
- Huron Pathology Services PC
- Michelle M Hyzer
- Tracy Inbody
- Heather Innes
- Insight Healthcare, PLLC
- Integrated Wellness Therapies LLC
All providers in Bad Axe, MI · Speech-Language Pathologist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 14, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.