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LAKE MURRAY SPEECH PATHOLOGY LLC
NPI 1922732759
Speech-Language Pathologist in Chapin, SC

Active since July 16, 2022
111 HAYWAIN DR, CHAPIN, SC 29036(803) 586-1447 Get Directions Write a Review

NPPES record last updated: July 16, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lake Murray Speech Pathology Llc NPPES

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

LAKE MURRAY SPEECH PATHOLOGY LLC (NPI 1922732759) is a healthcare organization registered as a speech-language pathologist in Chapin, South Carolina and active in the NPI registry since July 2022. The organization lists Jennifer Kruidenier, Speech Language Pathologist, as its authorized official.

NPPES Registry Identity

NPI1922732759
Entity TypeOrganization
Primary Taxonomy235Z00000X
Legal Business NameLAKE MURRAY SPEECH PATHOLOGY LLC
Location Address111 HAYWAIN DRChapin, SC 29036-8204
Mailing Address111 Haywain DrChapin, SC 29036-8204 · (803) 586-1447
Phone(803) 586-1447
Organization SubpartNo
Authorized OfficialJennifer KruidenierSpeech Language Pathologist · (803) 586-1447
Enumeration DateJuly 16, 2022
NPPES CertifiedJuly 16, 2022
✔ NPI 1922732759 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.
111 HAYWAIN DR, Chapin, SC 29036
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina.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)

Lake Murray Speech Pathology Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Lake Murray Speech Pathology LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jennifer Kruidenier
Qualified Speech Language Pathologist
NPI 1356912836
111 HAYWAIN DR
Chapin, SC 29036
(803) 586-1447
✔ Accepts MedicareSame address

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 Lake Murray Speech Pathology LLC's NPI number?

The NPI number for Lake Murray Speech Pathology LLC is 1922732759. It was assigned to this organization in the NPPES registry on July 16, 2022.

Where is Lake Murray Speech Pathology LLC located?

Lake Murray Speech Pathology LLC is located at 111 Haywain Dr, Chapin, SC 29036. The listed phone number is (803) 586-1447.

What is Lake Murray Speech Pathology LLC's specialty?

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

Is Lake Murray Speech Pathology LLC enrolled in Medicare?

Yes. Lake Murray Speech Pathology LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lake Murray Speech Pathology LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Qualified Speech Language Pathologist) reassigns their Medicare billing to Lake Murray Speech Pathology 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Lake Murray Speech Pathology LLC accept?

Health plans from BlueCross BlueShield of South Carolina list Lake Murray Speech Pathology 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 Lake Murray Speech Pathology LLC was last updated on July 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.