Individual provider Active NPI

Lauren Billingsley, M.A.

  • Speech-Language Pathologist
  • Jacksonville, FL
National Provider Identifier
1356852032
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA16826 Issued in FL
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

Updated by the provider on Oct 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
RBT-19-78728FLMDBehavior Technician
SA16826FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Bloom Behavioral Solutions CurrentSince Jan 19, 2025 Accepting new patients
Bloom Behavioral Solutions, Inc. CurrentSince Jan 19, 2025 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.

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.

Verify at the official NPI Registry.