Avery Paige Boogren, M.A., CF-SLP

Individual provider Active NPI Speech-Language Pathologist · Richland, MI

NPI 1508786013 · NPPES record last updated Jul 16, 2026

Key facts

NPI
1508786013
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
7152001424 (MI)
Practice address
8599 N 32ND St Ste 104
Richland, MI 49083-8570
Phone
(810) 931-2598
Fax
(269) 359-3710
NPI assigned
Jul 16, 2026
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Rise Therapy & Wellness LLC Past
since Aug 4, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 7152001424 MI Yes

Addresses

Primary practice location

8599 N 32ND St Ste 104
Richland, MI 49083-8570

Mailing address

8599 N 32ND St Ste 104
Richland, MI 49083-8570
Phone (810) 931-2598

Other providers in Richland, MI

All providers in Richland, MI · Speech-Language Pathologist in Michigan

Sources for this page

Verify at the official NPI Registry.