Active NPI
Laura Jeanne Bendiksen, M.S.,CCC-SLP
- Speech-Language Pathologist
- South Hadley, MA
National Provider Identifier
1821531773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 7668
- Practice address
- 30 Old Lyman Rd
South Hadley, MA 01075-2630 - Phone
- (413) 533-7140
- NPI assigned
- Nov 27, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 7668 | MA | Primary |
Addresses
Primary practice location
30 Old Lyman Rd
South Hadley, MA 01075-2630
Mailing address
61 Clarence St
West Springfield, MA 01089-2438
Phone (413) 788-6648
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7668 | MA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480204800000",
"number": "1821531773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61 CLARENCE ST",
"city": "WEST SPRINGFIELD",
"state": "MA",
"postal_code": "010892438",
"telephone_number": "413-788-6648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 OLD LYMAN RD",
"city": "SOUTH HADLEY",
"state": "MA",
"postal_code": "010752630",
"telephone_number": "413-533-7140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENDIKSEN",
"first_name": "LAURA",
"middle_name": "JEANNE",
"credential": "M.S.,CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-11-27",
"last_updated": "2016-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MA",
"license": "7668",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Hadley, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.