Active NPI
Lauren Billingsley, M.A.
- Speech-Language Pathologist
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA16826
- Practice address
- 1024 Whirlaway Cir S
Jacksonville, FL 32218-1763 - Phone
- (904) 307-0636
- NPI assigned
- Oct 20, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-19-78728 | FL | |
| Speech-Language Pathologist | 235Z00000X | SA16826 | FL | Primary |
Addresses
Primary practice location
1024 Whirlaway Cir S
Jacksonville, FL 32218-1763
Mailing address
1024 Whirlaway Cir S
Jacksonville, FL 32218-1763
Phone (904) 307-0636
Other practice location 1
997 Atlantic Blvd
Atlantic Beach, FL 32233-3311
Phone (904) 647-1849
Other practice location 2
9141 Cypress Green Dr Ste 2
Jacksonville, FL 32256-2006
Phone (904) 647-1849
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-19-78728 | FL | MD | Behavior Technician |
| SA16826 | FL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bloom Behavioral Solutions | Current | Accepting new patients | |
| Bloom Behavioral Solutions, Inc. | Current | Accepting new patients |
Locations
9141 Cypress Green Dr
Ste 2
Jacksonville, FL 32256
Phone 9046471849 ext. 113
997 Atlantic Blvd
Jacksonville, FL 32233
Phone (904) 647-1849
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Atlantic Beach, FL
- NPI 1780088609
-
- Multi-Specialty Clinic/Center
- Atlantic Beach, FL
- NPI 1881953347
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728864000000",
"number": "1356852032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1024 WHIRLAWAY CIR S",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322181763",
"telephone_number": "904-307-0636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1024 WHIRLAWAY CIR S",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322181763",
"telephone_number": "904-307-0636"
}
],
"practiceLocations": [
{
"address_1": "997 Atlantic Blvd",
"address_purpose": "LOCATION",
"city": "Atlantic Beach",
"state": "FL",
"postal_code": "322333311",
"country_code": "US",
"telephone_number": "904-647-1849",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9141 Cypress Green Dr Ste 2",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322562006",
"country_code": "US",
"telephone_number": "904-647-1849",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BILLINGSLEY",
"first_name": "LAUREN",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-20",
"last_updated": "2024-10-14",
"certification_date": "2024-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-19-78728",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA16826",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.