Individual provider Active NPI

Lauren Foster, MS, CCC/SLP, CNHP

  • Speech-Language Pathologist
  • Decatur, GA
National Provider Identifier
1720143514
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1487875 Issued in GA
Practice address
114 New St
C1
Decatur, GA 30030-4132
Phone
(404) 944-9561
NPI assigned
Dec 22, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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 1487875 GA Primary

Addresses

Primary practice location

114 New St
C1
Decatur, GA 30030-4132

Mailing address

614 Sycamore Ridge Dr
Decatur, GA 30030-2771
Phone (404) 944-9561

Other identifiers 1

IdentifierTypeStateIssuer
000925867AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250417000849 GA Practitioner - Qualified Speech Language Pathologist 0143745679 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1487875GAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Super Stars Child Research and Development Center, Inc CurrentSince Feb 7, 2025 Accepting new patients
Super Supportive Teaching for Achieving Remarkable Success Inc CurrentSince May 25, 2025 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1720143514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 SYCAMORE RIDGE DR",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302771",
            "telephone_number": "404-944-9561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 NEW ST",
            "address_2": "C1",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300304132",
            "telephone_number": "404-944-9561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "LAUREN",
        "name_prefix": "Ms.",
        "credential": "MS, CCC/SLP, CNHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-22",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "1487875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000925867A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; 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.