Organization Active NPI

Mosaic Speech Therapy LLC

  • Speech-Language Pathologist
  • East Lansing, MI
National Provider Identifier
1881170892
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7101002831 Issued in MI
Legal business name
MOSAIC SPEECH THERAPY LLC
Practice address
4572 S Hagadorn Rd Ste 2D
East Lansing, MI 48823-5385
Phone
(517) 220-4974
Fax
(517) 220-4974
NPI assigned
Jul 12, 2018
Last updated
Sep 3, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Jodi Cohen, MA, CCC/SLPNPI 1477039576
Title
Member/Manager
Phone
(517) 220-4974

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 7101002831 MI Primary

Addresses

Primary practice location

4572 S Hagadorn Rd Ste 2D
East Lansing, MI 48823-5385

Mailing address

4572 S Hagadorn Rd Ste 2D
East Lansing, MI 48823-5385
Phone (517) 220-4974

Other names 1

  • Waldman Speech Therapy LLC Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200625000510 MI Part B Supplier - Clinic/Group Practice 8426470162 Receives reassigned benefits from 1 practitioner
Practice locations: East Lansing, MI

National Provider Directory

National Provider Directory

Locations

4572 S Hagadorn Rd
Ste 1A4
East Lansing, MI 48823

4572 S Hagadorn Rd
Ste 1A
East Lansing, MI 48823
Phone (517) 220-4974

4572 S Hagadorn Rd
Ste 2D
East Lansing, MI 48823
Phone (517) 333-0332

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1531353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788393600000",
    "number": "1881170892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4572 S HAGADORN RD STE 2D",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488235385",
            "telephone_number": "517-220-4974",
            "fax_number": "517-220-4974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4572 S HAGADORN RD STE 2D",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488235385",
            "telephone_number": "517-220-4974",
            "fax_number": "517-220-4974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSAIC SPEECH THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-12",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "JODI",
        "authorized_official_title_or_position": "MEMBER/MANAGER",
        "authorized_official_telephone_number": "517-220-4974",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, CCC/SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101002831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Waldman Speech Therapy LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in East Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; 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.