Advanced Telepractice Enterprises, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

ADVANCED TELEPRACTICE ENTERPRISES, LLC

Practice address

5104 76TH St SE
Caledonia, MI 49316-7913

Phone

(231) 838-5619

NPI assigned

Apr 22, 2020

Last updated

Apr 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Laura Lenke, PH.D. CCC-SLP

Title

Member

Phone

(231) 838-5619

Specialties & licenses 1

Addresses

Other names 1

• cyberlogix, LLC Former legal business name

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

{
    "created_epoch": "1587513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587513600000",
    "number": "1881214518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11880 RACHEL LN",
            "city": "DEWITT",
            "state": "MI",
            "postal_code": "488207781",
            "telephone_number": "517-202-7323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5104 76TH ST SE",
            "city": "CALEDONIA",
            "state": "MI",
            "postal_code": "493167913",
            "telephone_number": "231-838-5619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED TELEPRACTICE ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-22",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A",
        "authorized_official_last_name": "LENKE",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "231-838-5619",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PH.D. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "cyberlogix, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Abdel-Salem Abada
• Katie Rose Acker, LPC
• Acorn Hill Psychology PLLC
• Alicia Adams
• Shelby L Adams, DPT
• Gloria Joy Alberta, RN
• Susan Lee Alderink-Hulst, MA, LLP
• Alexis W Incorporated (Cardinal Counseling & Assessment)
• Andrea Alvarez
• Anchor Health LLC

• Speech-Language Pathologist in Caledonia, MI
• Providers in Caledonia, MI by specialty
• Speech-Language Pathologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2020; 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.