LAUREN M GORDON M.S., CCC-SLP
NPI 1396237723
Speech-Language Pathologist in Virginia Beach, VA

Q: What is Lauren Gordon's NPI number?

The NPI number for Lauren Gordon is 1396237723. It was assigned to this individual provider in the NPPES registry on June 1, 2018. The provider is also known as Lauren Mcgonagle.

Q: What is Lauren Gordon's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lauren Gordon was last updated on December 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since June 01, 2018

4668 PEMBROKE BLVD STE 115, VIRGINIA BEACH, VA 23455(757) 648-8562(757) 648-8564 Get Directions Write a Review

NPPES record last updated: December 10, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Lauren M Gordon M.s., Ccc-slp NPPES

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

LAUREN M GORDON M.S., CCC-SLP (NPI 1396237723) is an individual speech-language pathologist provider in Virginia Beach, Virginia, licensed in Virginia (2202009219) and active in the NPI registry since June 2018.

NPPES Registry Identity

NPI1396237723

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameLAUREN M GORDONCredential: M.S., CCC-SLP

Location Address4668 PEMBROKE BLVD STE 115Virginia Beach, VA 23455-6423

Mailing Address4668 Pembroke Blvd Ste 115Virginia Beach, VA 23455-6423 · (757) 648-8562 · Fax (757) 648-8564

Phone(757) 648-8562

Fax(757) 648-8564

Sole ProprietorNo

Enumeration DateJune 1, 2018

Last NPPES UpdateDecember 10, 2025

NPPES CertifiedDecember 10, 2025

✔ NPI 1396237723 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 VA · 2202009219

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.

4668 PEMBROKE BLVD STE 115, Virginia Beach, VA 23455

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Other Names 1

Former Name (1)Lauren Mcgonagle

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Medicare Billing Reassignment

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

Ivyrehab Sept, LLC

3.9 mi

Physical Therapist

5301 PROVIDENCE RD, SUITE 80
Virginia Beach, VA 23464

Reassigned Medicare billing, Virginia enrollment
292 clinicians in this Medicare group

NPI 1982657433 (757) 467-4604

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.

LINDSEY PAULEY

Physical Therapist