Active NPI
Lauren Leclercq, AUD
- Audiologist
- Paw Paw, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 1601001058
- Practice address
- 179 W Michigan Ave Ste a
Paw Paw, MI 49079-1444 - Phone
- (269) 359-1346
- Fax
- (630) 303-5385
- NPI assigned
- Jul 1, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 147.001773 | IL | |
| Audiologist | 231H00000X | 1601001058 | MI | Primary |
Addresses
Primary practice location
179 W Michigan Ave Ste a
Paw Paw, MI 49079-1444
Mailing address
179 W Michigan Ave Ste a
Paw Paw, MI 49079-1444
Phone (269) 359-1346
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, IN
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Audiology Services Company USA, LLC | Audiologist | Current | Accepting new patients |
| Audiology Services Company USA, LLC | Current | Accepting new patients | |
| Connect Hearing, Inc. | Audiologist | Past | Accepting new patients |
Locations
1653 Thornapple Cir
Valparaiso, IN 46385
Phone (219) 477-4473
1052 Cleaver Rd
Caro, MI 48723
Phone (989) 673-2933
179 W Michigan Ave
Ste A
Paw Paw, MI 49079
Phone (269) 327-3333
1930 W Milham Ave
Ste B
Portage, MI 49024
Phone (269) 327-3333
113 E Long Lake Rd
Ste B
Troy, MI 48085
Phone (248) 435-6811
2501 Cottontail Ln
Somerset, NJ 08873
Phone (732) 529-7120
Organizations & group practices 3
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.
-
- Hearing and Speech Clinic/Center
- Somerset, NJ
- NPI 1033585302
Audiologist, IN, MI
-
- Hearing and Speech Clinic/Center
- Melbourne, FL
- NPI 1902318108
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689552000000",
"number": "1720605298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "179 W MICHIGAN AVE STE A",
"city": "PAW PAW",
"state": "MI",
"postal_code": "490791444",
"telephone_number": "269-359-1346",
"fax_number": "630-303-5385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "179 W MICHIGAN AVE STE A",
"city": "PAW PAW",
"state": "MI",
"postal_code": "490791444",
"telephone_number": "269-359-1346",
"fax_number": "630-303-5385"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LECLERCQ",
"first_name": "LAUREN",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-01",
"last_updated": "2023-07-17",
"certification_date": "2023-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "IL",
"license": "147.001773",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MI",
"license": "1601001058",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Paw Paw, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; 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.