Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1366172199 Individual Practitioner Female Practitioner

Ellen Wegener , MS CCC SLP

Speech-Language Pathologist • Grand Rapids, MI

Professional Overview & Biography Verified Profile Summary

Ellen Wegener, MS CCC SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Grand Rapids, MI. Practice services are available at 4467 BYRON CENTER AVE SW under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4467 Byron Center Ave Sw

Grand Rapids, MI 495194808

Telephone 6165529544

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Grand Rapids, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.6 Yrs
State Avg: 12.5 Yrs
Regional Practice Density
281 Specialists

Practicing in Grand Rapids, MI (3778 Statewide)

Telehealth Adoption Rate
0.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-04-03
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License FL SA21384

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Emily Demers , MS, OTRL

Occupational Therapist

NPI 1104649177

Master of Science, Occupational Therapist Registered & Licensed

Randy Hoekstra

Behavior Analyst

NPI 1225635550
NPI 1316608979

Physical Therapist, Doctor of Physical Therapy

Colleen Connors , OTR, L

Occupational Therapist

NPI 1568113124

Occupational Therapist Registered, L

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location April 03, 2024

Registered at 4467 BYRON CENTER AVE SW, GRAND RAPIDS, MI 495194808 (Tel: 6165529544)

📍
Updated Business Mailing Address April 03, 2024

Registered at 150 MAYFIELD AVE NE, GRAND RAPIDS, MI 495033767 (Tel: 2488606895)

👤
Provider Name / Credentials Updated April 20, 2023

Recorded as ELLEN WEGENER, M.S. CCC SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 20, 2023

Speech-Language Pathologist (License #SA21384 in FL)

NPI Profile Active June 14, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location June 14, 2022

Registered at 1219 DUNN AVE, DAYTONA BEACH, FL 321142405 (Tel: 3862554568)

📍
Updated Business Mailing Address June 14, 2022

Registered at 240 N AIRPORT RD, NEW SMYRNA BEACH, FL 321685373

👤
Provider Name / Credentials Updated June 14, 2022

Recorded as ELLEN WEGENER, M.S. CF SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 14, 2022

Speech-Language Pathologist (License #SZ10652 in FL)

🟢
Initial NPI Registration & Enumeration June 14, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1366172199
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 14, 2022
Last Update: April 03, 2024
Sole Proprietor: No

Mailing Address

150 Mayfield Ave Ne

Grand Rapids, MI 495033767

Phone: 2488606895

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.