1. Home
  2. Directory
  3. Michigan
  4. Grand Rapids
  5. Speech Language Pathologist
  6. NPI Profile

LAUREN PETRUSKA
NPI 1124840616
Speech-Language Pathologist in Grand Rapids, MI

Active since October 28, 2024
2450 44TH ST SE STE 201, GRAND RAPIDS, MI 49512(616) 325-4839 Get Directions Write a Review

NPPES record last updated: October 28, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lauren Petruska NPPES

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

LAUREN PETRUSKA (NPI 1124840616) is an individual speech-language pathologist provider in Grand Rapids, Michigan and active in the NPI registry since October 2024. She is a graduate of Other (2024).

NPPES Registry Identity

NPI1124840616
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameLAUREN PETRUSKA
Location Address2450 44TH ST SE STE 201Grand Rapids, MI 49512-9081
Mailing Address2450 44th St Se Ste 201Grand Rapids, MI 49512-9081
Phone(616) 325-4839
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateOctober 28, 2024
NPPES CertifiedOctober 28, 2024
✔ NPI 1124840616 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
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.
2450 44TH ST SE STE 201, Grand Rapids, MI 49512
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lauren Petruska is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3375030885
PECOS Enrollment IDI20251016003728

Other Providers at the Same Location NPPES 13

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

CASSIDY HAASE CCC-SLP
Speech-Language Pathologist
2450 44TH ST SE STE 201
KENTWOOD, MI 49512
Kent County (616) 528-0870
DR. BETH MACAULEY PH.D., CCC-SLP, HPCS
Speech-Language Pathologist
2450 44TH ST SE STE 201
KENTWOOD, MI 49512
Kent County (616) 528-0870
HANNAH BLACKWELL SLP
Speech-Language Pathologist
2450 44TH ST SE STE 201
KENTWOOD, MI 49512
Kent County (616) 528-0870
DUNCAN LAKE SPEECH THERAPY, LLC
Counselor (Mental Health)
2450 44TH ST SE STE 201
KENTWOOD, MI 49512
Kent County (616) 528-0870
MADISSEN ANNE VACHA M.S., CCC-SLP
Speech-Language Pathologist
2450 44TH ST SE STE 201
KENTWOOD, MI 49512
Kent County (616) 528-0870
DUNCAN LAKE SPEECH THERAPY, LLC
Speech-Language Pathologist
2450 44TH ST SE STE 201
KENTWOOD, MI 49512
Kent County (616) 528-0870
ALYSSA MISIAK SLP
Speech-Language Pathologist
2450 44TH ST SE STE 201
KENTWOOD, MI 49512
Kent County (616) 528-0870
CAITLIN JOAN REYES CORDERO
Speech-Language Pathologist
2450 44TH ST SE STE 201
KENTWOOD, MI 49512
Kent County (616) 528-0870

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 Petruska's NPI number?

The NPI number for Lauren Petruska is 1124840616. It was assigned to this individual provider in the NPPES registry on October 28, 2024.

Where is Lauren Petruska located?

Lauren Petruska practices at 2450 44th St SE Ste 201, Grand Rapids, MI 49512. The listed phone number is (616) 325-4839.

What is Lauren Petruska's specialty?

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

Is Lauren Petruska enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Lauren Petruska was last updated on October 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.