Jennifer Renee Herklotz, M.A, CCC-SLP, COM

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

3934-154 Issued in WI

Practice address

1025 W Glen Oaks LN Ste 107
Mequon, WI 53092-3372

Phone

(262) 302-4166

NPI assigned

Apr 14, 2009

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 names 1

• Mrs. Jennifer Renee Lafreniere Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Mequon Speech and Learning Connection

  • Speech-Language Pathologist
  • Mequon, WI
  • NPI 1720589476
  NPD Authorized official

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

{
    "created_epoch": "1239667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565136000000",
    "number": "1477796910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 W GLEN OAKS LN STE 107",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530923372",
            "telephone_number": "262-302-4166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 W GLEN OAKS LN STE 107",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530923372",
            "telephone_number": "262-302-4166"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11431 N Port Washington Rd",
            "address_2": "Suite 120",
            "address_purpose": "LOCATION",
            "city": "Mequon",
            "state": "WI",
            "postal_code": "530923462",
            "country_code": "US",
            "telephone_number": "262-302-4166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERKLOTZ",
        "first_name": "JENNIFER",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "M.A, CCC-SLP, COM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-14",
        "last_updated": "2019-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "3934-154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "LAFRENIERE",
            "middle_name": "RENEE",
            "prefix": "MRS.",
            "credential": "M.A, CCC-SLP, COM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rosita Heimann
• Lori A Heinrich, MD
• Benjamin Hellman
• Talia S Hellman, FNP-BC, APNP
• Sandra Henke
• Janine I. Herman, RCP-70-028
• Veronica Hern
• Arika E Hernandez, APNP
• David J. Herrenbruck, PHARM.D.
• Mary A Hershberger, LPC

• Speech-Language Pathologist in Mequon, WI
• Providers in Mequon, 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 Aug 7, 2019; 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.