Individual provider Active NPI

Lauren Glessing, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Rochester, MN
National Provider Identifier
1366748865
Registry record updated Feb 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
8643 Issued in MN
Practice address
140 Elton Hills LN NW Ste 100a
Rochester, MN 55901-3567
Phone
(218) 750-7653
NPI assigned
Jan 31, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2023

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 8643 MN Primary

Addresses

Primary practice location

140 Elton Hills LN NW Ste 100a
Rochester, MN 55901-3567

Mailing address

61278 260TH Ave
Mantorville, MN 55955-6010
Phone (218) 750-7653

Other practice location 1

61278 260th Ave
Mantorville, MN 55955-6010
Phone (218) 750-7653

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190403001538 MN Practitioner - Qualified Speech Language Pathologist 6901147867 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
8643MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Owl Therapy Services LLC Speech-Language Pathologist CurrentSince Jan 1, 2011 Accepting new patients

Locations

320 Elton Hills Dr NW
Rochester, MN 55901
Phone (218) 750-7653

Organizations & group practices 1

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": "1296432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675728000000",
    "number": "1366748865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61278 260TH AVE",
            "city": "MANTORVILLE",
            "state": "MN",
            "postal_code": "559556010",
            "telephone_number": "218-750-7653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 ELTON HILLS LN NW STE 100A",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559013567",
            "telephone_number": "218-750-7653"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "61278 260th Ave",
            "address_purpose": "LOCATION",
            "city": "Mantorville",
            "state": "MN",
            "postal_code": "559556010",
            "country_code": "US",
            "telephone_number": "218-750-7653",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLESSING",
        "first_name": "LAUREN",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-31",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "8643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.