Lauren McKenzie Henderson

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP20338 Issued in CA

Practice address

16500 Ventura Blvd Ste 414
Encino, CA 91436-5050

Phone

(818) 788-1003

Fax

(818) 788-1135

NPI assigned

Nov 16, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Speech and Language Pathology Associates Inc.

  • Speech-Language Pathologist
  • Encino, CA
  • NPI 1124271614
  NPD

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

{
    "created_epoch": "1353024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399593600000",
    "number": "1417291238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4420 CARPENTER AVE",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916074111",
            "telephone_number": "818-788-1003",
            "fax_number": "818-788-1135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16500 VENTURA BLVD STE 414",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914365050",
            "telephone_number": "818-788-1003",
            "fax_number": "818-788-1135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "LAUREN",
        "middle_name": "MCKENZIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-16",
        "last_updated": "2014-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP20338",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPEECH THERAPY",
            "identifier": "SP20338",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle Heimanson
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• Elnaz Hendifar
• Jessica Anne Hendricks
• Amanda Henriques
• Christine Jones Henry, M.A., ATR, LMFT
• Shaniqua Henry, LMSW

• Speech-Language Pathologist in Encino, CA
• Providers in Encino, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2014; 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.