Lauren Lea Wickliffe, M.S.P., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

5582 Issued in SC

Practice address

23 Rock Creek Dr
Greenville, SC 29605-1123

Phone

(864) 918-3195

NPI assigned

Jun 30, 2015

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lauren Catherine Lea Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Blossom Therapy LLC

  • Speech-Language Pathologist
  • Greenville, SC
  • NPI 1962020230
  NPD Authorized official
• McCulloh Therapeutic Solutions

  • Speech-Language Pathologist
  • Spartanburg, SC
  • NPI 1710030143
  NPD (past)

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

{
    "created_epoch": "1435622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594598400000",
    "number": "1174906812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 ROCK CREEK DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296051123",
            "telephone_number": "864-918-3195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 ROCK CREEK DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296051123",
            "telephone_number": "864-918-3195"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 The Pkwy",
            "address_2": "Suite M",
            "address_purpose": "LOCATION",
            "city": "Greer",
            "state": "SC",
            "postal_code": "296505204",
            "country_code": "US",
            "telephone_number": "864-244-3474",
            "fax_number": "864-244-3475",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WICKLIFFE",
        "first_name": "LAUREN",
        "middle_name": "LEA",
        "name_prefix": "Ms.",
        "credential": "M.S.P., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-30",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "5582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SA1567",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "LEA",
            "middle_name": "CATHERINE",
            "credential": "M.S.P., CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• James I Whynot, M.D.
• Anna Whysong
• Jerome Miranda Wicker
• Steven Wickers, CRNA
• Michelle Ann Wickiser, CCC-SLP
• Sayge Wiedman, OT
• Kendra Wien, L.M.T.
• Jeffrey Ryan Wienke, MD
• Garrison Patrick Wier, MD
• Kelly Wierzbicki, PHARMD

• Speech-Language Pathologist in Greenville, SC
• Providers in Greenville, SC by specialty
• Speech-Language Pathologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2020; 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.