Individual provider Active NPI

Lauren Bracale

  • Speech-Language Pathologist
  • Columbus, OH
National Provider Identifier
1831826742
Registry record updated Dec 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP.14917 Issued in OH
Practice address
8740 Orion PL Ste 110
Columbus, OH 43240-4063
Phone
(614) 734-7777
Fax
(614) 388-5995
NPI assigned
Aug 2, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2023

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 SP.14917 OH Primary

Addresses

Primary practice location

8740 Orion PL Ste 110
Columbus, OH 43240-4063

Mailing address

7298 Greenwood Dr
Sunbury, OH 43074-7614
Phone (419) 560-3795

Other identifiers 1

IdentifierTypeStateIssuer
SP.14917OtherOHSTATE BOARD

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address laurenh@specializedspeech.com

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

State licenses

LicenseStateTypeSpecialty
SP.14917OHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Specialized Speech Technologies, Inc. Speech-Language Pathologist CurrentSince Aug 7, 2022 Accepting new patients

Locations

8740 Orion Pl
Ste 110
Columbus, OH 43240
Phone (614) 724-7777

Organizations & group practices 1

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": "1659398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1831826742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7298 GREENWOOD DR",
            "city": "SUNBURY",
            "state": "OH",
            "postal_code": "430747614",
            "telephone_number": "419-560-3795",
            "fax_number": "614-388-5995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8740 ORION PL STE 110",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432404063",
            "telephone_number": "614-734-7777",
            "fax_number": "614-388-5995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRACALE",
        "first_name": "LAUREN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-02",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP.14917",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD",
            "identifier": "SP.14917",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "laurenh@specializedspeech.com",
            "affiliation": "N",
            "address_1": "8740 Orion Pl Ste 110",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432404063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; 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.