LUMEN PEDIATRIC THERAPY, LLC
NPI 1407573942
Speech-Language Pathologist in Saint Clair Shores, MI
About Lumen Pediatric Therapy, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LUMEN PEDIATRIC THERAPY, LLC (NPI 1407573942) is a healthcare organization registered as a speech-language pathologist in Saint Clair Shores, Michigan and active in the NPI registry since October 2022. The organization maintains a secondary practice location in Auburn Hills and lists Nicholle Mehr, Chief Executive Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lumen Pediatric Therapy, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Lumen Pediatric Therapy, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Lumen Pediatric Therapy, LLC's NPI number?
The NPI number for Lumen Pediatric Therapy, LLC is 1407573942. It was assigned to this organization in the NPPES registry on October 25, 2022.
Where is Lumen Pediatric Therapy, LLC located?
Lumen Pediatric Therapy, LLC is located at 26210 Harper Ave Ste 200, Saint Clair Shores, MI 48081. The listed phone number is (888) 485-8636.
What is Lumen Pediatric Therapy, LLC's specialty?
The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.
Is Lumen Pediatric Therapy, LLC enrolled in Medicare?
Yes. Lumen Pediatric Therapy, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lumen Pediatric Therapy, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Occupational Therapist in Private Practice, reassign their Medicare billing to Lumen Pediatric Therapy, LLC. A 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 the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Lumen Pediatric Therapy, LLC accept?
Health plans from Priority Health list Lumen Pediatric Therapy, LLC 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 Lumen Pediatric Therapy, LLC was last updated on February 11, 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.
# Lumen Pediatric Therapy, Llc · NPI 1407573942
Speech-Language Pathologist organization in Saint Clair Shores, Michigan. Organization record, active in the CMS NPPES registry since October 25, 2022.
## Identity
- **NPI:** 1407573942 (Entity type: Organization)
- **Enumerated:** October 25, 2022
- **Primary specialty:** Speech-Language Pathologist · taxonomy 235Z00000X
- **Organization subpart:** No
- **Authorized official:** Nicholle Mehr, CHIEF EXECUTIVE OFFICER
## Practice location
- **Address:** 26210 HARPER AVE STE 200, Saint Clair Shores, MI 48081-2203
- **Phone:** (888) 485-8636 · **Fax:** (586) 218-3367
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Occupational Therapist in Private Practice) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 11, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1407573942) · Data from the CMS NPPES public registry.