Individual provider Active NPI

Heidi Lesselyong, MS, CCC-SLP

  • Speech-Language Pathologist
  • Hortonville, WI
National Provider Identifier
1134038029
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
240 Warner St
Hortonville, WI 54944-8559
Phone
(920) 779-7911
Fax
(920) 793-7937
NPI assigned
Sep 4, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 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 WI Primary

Addresses

Primary practice location

240 Warner St
Hortonville, WI 54944-8559

Mailing address

240 Warner St
Hortonville, WI 54944-8559
Phone (920) 779-7911

Medicare participation

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

NPI Registry JSON

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

{
    "created_epoch": "1788480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788480000000",
    "number": "1134038029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 WARNER ST",
            "city": "HORTONVILLE",
            "state": "WI",
            "postal_code": "549448559",
            "telephone_number": "920-779-7911",
            "fax_number": "920-779-7937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 WARNER ST",
            "city": "HORTONVILLE",
            "state": "WI",
            "postal_code": "549448559",
            "telephone_number": "920-779-7911",
            "fax_number": "920-793-7937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESSELYONG",
        "first_name": "HEIDI",
        "name_prefix": "Mrs.",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-04",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hortonville, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.