Individual provider Active NPI

Lena Sarnowski, MACCCSLP

  • Speech-Language Pathologist
  • Shelby Township, MI
National Provider Identifier
1154726255
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
L2548956 Issued in MI
Practice address
14145 Simone Dr
Shelby Township, MI 48315-3228
Phone
(586) 566-6280
Fax
(586) 566-1898
NPI assigned
Oct 31, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2023

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 L2548956 MI Primary

Addresses

Primary practice location

14145 Simone Dr
Shelby Township, MI 48315-3228

Mailing address

14145 Simone Dr
Shelby Township, MI 48315-3228
Phone (586) 566-6280

Other names 1

  • Lena Ellison Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
L2548956MIMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Developing Connections Inc. Speech-Language Pathologist PastSince Mar 11, 2015 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": "1414713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1154726255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14145 SIMONE DR",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483153228",
            "telephone_number": "586-566-6280",
            "fax_number": "586-566-1898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14145 SIMONE DR",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483153228",
            "telephone_number": "586-566-6280",
            "fax_number": "586-566-1898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARNOWSKI",
        "first_name": "LENA",
        "credential": "MACCCSLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-31",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "L2548956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LENA",
            "last_name": "ELLISON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Shelby Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; 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.