Lauren Therese Seculoff, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

46002823A Issued in IN

Practice address

10445 Dupont Oaks Blvd
Fort Wayne, IN 46845-8792

Phone

(260) 205-8584

NPI assigned

Sep 3, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Lauren Therese Rosswurm Former name

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Healthpro Heritage Rehab & Fitness, LLC

  • Physical Therapist
  • Merrillville, IN
  • NPI 1053833657

  Speech-Language Pathologist

  Medicare reassignment NPD
• Healthpro Heritage Rehab & Fitness, LLC

  • Physical Therapist
  • Independence, MO
  • NPI 1871072462

  Speech-Language Pathologist

  NPD

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

{
    "created_epoch": "1441238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491782400000",
    "number": "1497123780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10445 DUPONT OAKS BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468458792",
            "telephone_number": "260-205-8584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10445 DUPONT OAKS BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468458792",
            "telephone_number": "260-205-8584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SECULOFF",
        "first_name": "LAUREN",
        "middle_name": "THERESE",
        "name_prefix": "Mrs.",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-03",
        "last_updated": "2017-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "46002823A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "ROSSWURM",
            "middle_name": "THERESE",
            "prefix": "MS.",
            "credential": "CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tabitha Seaton
• Seazoned Med Transportation Service
• Allison Renee Sebastian, SLP
• Rachel L Sebastian, RBT
• Second Steps, LLC
• Secure Health Inc.
• Vahid-David Sedaghat, M.D.
• Katarzyna N Sedlaczek, FNP-C
• Sarah Seely, M.A. CCC-SLP
• Heather Seewald, MS

• Speech-Language Pathologist in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Speech-Language Pathologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2017; 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.