Individual provider Active NPI

Elayne Josephine Lexen, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Sparta, WI
National Provider Identifier
1679403356
Registry record updated May 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
1023 Walrath St
Sparta, WI 54656-2409
Phone
(608) 366-3450
Fax
(608) 351-5534
NPI assigned
May 22, 2026
Last updated
May 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X WI Primary

Addresses

Primary practice location

1023 Walrath St
Sparta, WI 54656-2409

Mailing address

1023 Walrath St
Sparta, WI 54656-2409
Phone (608) 366-3450

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1779408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779408000000",
    "number": "1679403356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1023 WALRATH ST",
            "city": "SPARTA",
            "state": "WI",
            "postal_code": "546562409",
            "telephone_number": "608-366-3450",
            "fax_number": "608-351-5534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1023 WALRATH ST",
            "city": "SPARTA",
            "state": "WI",
            "postal_code": "546562409",
            "telephone_number": "608-366-3450",
            "fax_number": "608-351-5534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEXEN",
        "first_name": "ELAYNE",
        "middle_name": "JOSEPHINE",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-22",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparta, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2026; 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.