LAUREN WATTERS MS CCC-SLP
NPI 1053045484
Speech-Language Pathologist in Wausau, WI

Active since July 12, 2022
630 S 36TH AVE, WAUSAU, WI 54401(855) 607-8242 Get Directions Write a Review

NPPES record last updated: February 27, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 27, 2025, Jul 12, 2022 (2 updates tracked since 2022).

About Lauren Watters Ms Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAUREN WATTERS MS CCC-SLP (NPI 1053045484) is an individual speech-language pathologist provider in Wausau, Wisconsin, licensed in Wisconsin (6403-154) and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1053045484
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameLAUREN WATTERSCredential: MS CCC-SLP
Location Address630 S 36TH AVEWausau, WI 54401-3930
Mailing Address630 S 36th AveWausau, WI 54401-3930
Sole ProprietorYes
Enumeration DateJuly 12, 2022
Last NPPES UpdateFebruary 27, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 27, 2025
✔ NPI 1053045484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in WI · 6403-154
Definition
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.
630 S 36TH AVE, Wausau, WI 54401

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lauren Watters Ms Ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Lauren Watters reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical
630 S 36TH AVE
Wausau, WI 54401
  • Reassigned Medicare billing, Wisconsin enrollment
  • 75 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Addiction (Substance Use Disorder))
630 S 36TH AVE
WAUSAU, WI 54401
Psychologist (Clinical)
630 S 36TH AVE
WAUSAU, WI 54401
Psychologist
630 S 36TH AVE
WAUSAU, WI 54401
Psychologist (Clinical)
630 S 36TH AVE
WAUSAU, WI 54401
Psychologist (School)
630 S 36TH AVE
WAUSAU, WI 54401
Social Worker (Clinical)
630 S 36TH AVE
WAUSAU, WI 54401
Psychologist
630 S 36TH AVE
WAUSAU, WI 54401
Psychologist (School)
630 S 36TH AVE
WAUSAU, WI 54401

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lauren Watters's NPI number?

The NPI number for Lauren Watters is 1053045484. It was assigned to this individual provider in the NPPES registry on July 12, 2022.

Where is Lauren Watters located?

Lauren Watters practices at 630 S 36th Ave, Wausau, WI 54401. The listed phone number is (855) 607-8242.

What is Lauren Watters's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Lauren Watters enrolled in Medicare?

Yes. Lauren Watters is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lauren Watters's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lauren Watters reassigns Medicare benefits to Behavioral Health Clinic, LLC (Wausau, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lauren Watters's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lauren Watters accept?

Health plans from Anthem Blue Cross and Blue Shield, Quartz and Security Health Plan list Lauren Watters as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lauren Watters was last updated on February 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.