Individual provider Active NPI

Lacey Rose Roberts, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Decatur, AL
National Provider Identifier
1235713363
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
207 Commerce Cir SW Ste C
Decatur, AL 35601-6860
Phone
(256) 580-5045
NPI assigned
May 5, 2021
Last updated
Sep 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 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 Primary

Addresses

Primary practice location

207 Commerce Cir SW Ste C
Decatur, AL 35601-6860

Mailing address

207 Commerce Cir SW Ste C
Decatur, AL 35601-6860
Phone (256) 580-5045

Other practice location 1

103 Intercom Dr Ste C
Madison, AL 35758-2641
Phone (256) 464-9464

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

Practice roles

OrganizationSpecialtyStatusNew patients
Madison Speech LLC Speech-Language Pathologist CurrentSince Dec 17, 2023 Accepting new patients
Wendy Cassady Speech Pathology, Inc Speech-Language Pathologist PastSince May 1, 2021 Accepting new patients
Child's Play Therapy LLC PastSince Jul 1, 2022 Accepting new patients
Madison Speech Associates, Inc Speech-Language Pathologist PastSince Dec 17, 2023 Accepting new patients

Locations

103 Intercom Dr
Ste C
Madison, AL 35758
Phone (256) 464-9464

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1620172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1235713363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 COMMERCE CIR SW STE C",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356016860",
            "telephone_number": "256-580-5045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 COMMERCE CIR SW STE C",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356016860",
            "telephone_number": "256-580-5045"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "103 Intercom Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "AL",
            "postal_code": "357582641",
            "country_code": "US",
            "telephone_number": "256-464-9464",
            "fax_number": "256-325-9469",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "LACEY",
        "middle_name": "ROSE",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-05",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.