Laurie Renee Penzkover, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2621-154 Issued in WI

Practice address

300 Race St
Wisconsin Dells, WI 53965-1822

Phone

(608) 254-2574

NPI assigned

Nov 9, 2007

Last updated

Jul 31, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

• Laurie Matteson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Divine Savior Healthcare

  • Rural Acute Care Hospital
  • Portage, WI
  • NPI 1346543246
  NPD (past)
• Divine Savior Healthcare

  • Rural Acute Care Hospital
  • Portage, WI
  • NPI 1700189602
  NPD (past)

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

{
    "created_epoch": "1194566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785456000000",
    "number": "1265612998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 9TH ST",
            "city": "BARABOO",
            "state": "WI",
            "postal_code": "539131755",
            "telephone_number": "414-687-2387",
            "fax_number": "608-690-5273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 RACE ST",
            "city": "WISCONSIN DELLS",
            "state": "WI",
            "postal_code": "539651822",
            "telephone_number": "608-254-2574"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1051 Clark St",
            "address_purpose": "LOCATION",
            "city": "Reedsburg",
            "state": "WI",
            "postal_code": "539599511",
            "country_code": "US",
            "telephone_number": "608-524-7500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENZKOVER",
        "first_name": "LAURIE",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-09",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "2621-154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42576100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURIE",
            "last_name": "MATTESON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Robert E Moss, DDS
• Sharilyn B Munneke, MD
• Maureen A Murphy, MD
• Nancy Anne Nordbeck, COTA
• NSH Wisconsin Dells LLC (Wisconsin Dells Health Services)
• Casey Meyer Piotrowski, OTR/L
• Bryan Prahl, PHARM.D.
• Rich Rides LLC
• Roxanne Richards, M.D.
• Bridget Therese Riley, BS, MSCMHC, LPC

• Speech-Language Pathologist in Wisconsin Dells, WI
• Providers in Wisconsin Dells, WI by specialty
• Speech-Language Pathologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.