Jackson Lanway

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7101002491 Issued in MI

Practice address

43533 Elizabeth St
Mount Clemens, MI 48043-1034

Phone

(586) 469-5265

NPI assigned

Nov 28, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Prolific Speech Therapy LLC

  • Speech-Language Pathologist
  • Ferndale, MI
  • NPI 1013701879
  NPD Authorized official

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

{
    "created_epoch": "1543363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752969600000",
    "number": "1669942058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 ALBANY ST",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482203333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43533 ELIZABETH ST",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480431034",
            "telephone_number": "586-469-5265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANWAY",
        "first_name": "JACKSON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-28",
        "last_updated": "2025-07-20",
        "certification_date": "2025-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101002491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cindy Lahm, M.A., CCC-SLP
• Chelsea Elizabeth Lake, BA HUMAN SERVICES
• Lakeside Anesthesia Associates, PLLC
• Kathy Elizabeth Lancaster, LBSW
• Gary Anthony Langowski, D.O.
• Jody Weissenborn Larimore, AU.D., CCC-A
• Nathan Paul Larimore
• James M Larkin, DO
• Megan Larson, OD
• Julie Marie Lata, D.O.

• Speech-Language Pathologist in Mount Clemens, MI
• Providers in Mount Clemens, MI by specialty
• Speech-Language Pathologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2025; 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.