Individual provider Active NPI

Lauren Trosclair Thompson

  • Speech-Language Pathologist
  • Picayune, MS
National Provider Identifier
1760198733
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
S-5009 Issued in MS
Practice address
1620 Highway 11 N Ste C
Picayune, MS 39466-2070
Phone
(769) 242-2626
Fax
(769) 242-2685
NPI assigned
Jan 24, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 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 S-5009 MS Primary

Addresses

Primary practice location

1620 Highway 11 N Ste C
Picayune, MS 39466-2070

Mailing address

1620 Highway 11 N Ste C
Picayune, MS 39466-2070
Phone (769) 242-2626

Other practice location 1

1601 Central Ave W
Wiggins, MS 39577-2401
Phone (601) 716-3196

Other identifiers 1

IdentifierTypeStateIssuer
07754201MedicaidMS

Other names 1

  • Lauren Trosclair Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250522001540 MS Practitioner - Qualified Speech Language Pathologist 4789103771 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Physical Therapy Clinic, Inc. Speech-Language Pathologist CurrentSince Apr 21, 2025 Accepting new patients
Aultman Speech Therapy Services, LLC Speech-Language Pathologist PastSince Jan 1, 2023 Accepting new patients

Locations

1620 Highway 11 N
Ste C
Picayune, MS 39466
Phone (769) 242-2626

1601 Central Ave W
Wiggins, MS 39577
Phone (601) 716-3196

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": "1674518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1760198733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 HIGHWAY 11 N STE C",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "394662070",
            "telephone_number": "769-242-2626",
            "fax_number": "769-242-2685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 HIGHWAY 11 N STE C",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "394662070",
            "telephone_number": "769-242-2626",
            "fax_number": "769-242-2685"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 Central Ave W",
            "address_purpose": "LOCATION",
            "city": "Wiggins",
            "state": "MS",
            "postal_code": "395772401",
            "country_code": "US",
            "telephone_number": "601-716-3196",
            "fax_number": "601-974-9919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "LAUREN",
        "middle_name": "TROSCLAIR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-24",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MS",
            "license": "S-5009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07754201",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "TROSCLAIR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Picayune, MS

Sources for this page

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