Gwen Ellen Orheim, MS CCCSLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

1491-154 Issued in WI

Practice address

10500 W Loomis Rd
Suite 150
Franklin, WI 53132-8111

Phone

(414) 858-9223

Fax

(414) 858-1017

NPI assigned

Nov 20, 2006

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 3

Other names 1

• Miss Gwen Ellen Hovey Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Franklin Rehab II, S.C.

  • Physical Therapist
  • Franklin, WI
  • NPI 1538385927
  NPD (past)
• Performance Enhancement

  • Professional Counselor
  • Franklin, WI
  • NPI 1306082219
  NPD (past)

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194998400000",
    "number": "1346314341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10500 W LOOMIS RD",
            "address_2": "SUITE 150",
            "city": "FRANKLIN",
            "state": "WI",
            "postal_code": "531328111",
            "telephone_number": "414-858-9223",
            "fax_number": "414-858-1017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10500 W LOOMIS RD",
            "address_2": "SUITE 150",
            "city": "FRANKLIN",
            "state": "WI",
            "postal_code": "531328111",
            "telephone_number": "414-858-9223",
            "fax_number": "414-858-1017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORHEIM",
        "first_name": "GWEN",
        "middle_name": "ELLEN",
        "name_prefix": "Mrs.",
        "credential": "MS CCCSLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "1491-154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHA",
            "identifier": "01109878",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "425-886-00",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSURE",
            "identifier": "1491-154",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GWEN",
            "last_name": "HOVEY",
            "middle_name": "ELLEN",
            "prefix": "MISS",
            "credential": "MS CCCSLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Speech-Language Pathologist in Franklin, WI
• Providers in Franklin, 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 Nov 14, 2007; 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.