Haley Kelly, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2020028871 Issued in MO

Practice address

905 Bardot St
Saint Clair, MO 63077-1700

Phone

(636) 629-3500

NPI assigned

Nov 2, 2021

Last updated

Apr 6, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Freedom of Speech Therapy LLC

  • Clinic/Center
  • Festus, MO
  • NPI 1114670742

  Speech-Language Pathologist

  NPD
• Compass Health, Inc

  dba Comtrea

  • Federally Qualified Health Center (FQHC)
  • High Ridge, MO
  • NPI 1356751648
  NPD (past)
• Ready Set Regulate LLC

  • Speech-Language Pathologist
  • High Ridge, MO
  • NPI 1538010061
  NPD (past)
• St. Clair Reorganized District R-Xiii

  • Local Education Agency (LEA)
  • Saint Clair, MO
  • NPI 1639219371
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1635811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1023773397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5013 COUNTRY RIDGE DR",
            "city": "IMPERIAL",
            "state": "MO",
            "postal_code": "630521504",
            "telephone_number": "314-402-0518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 BARDOT ST",
            "city": "SAINT CLAIR",
            "state": "MO",
            "postal_code": "630771700",
            "telephone_number": "636-629-3500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1610 Gravois Rd",
            "address_purpose": "LOCATION",
            "city": "High Ridge",
            "state": "MO",
            "postal_code": "630492606",
            "country_code": "US",
            "telephone_number": "636-534-0228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLY",
        "first_name": "HALEY",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-02",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2020028871",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "460105580",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nancy Herbert
• Kathleen Herndon, PT
• Martin J Hinterlong
• Mary Lynne Jackson, RPH
• Grace Kelley
• Kiko Enterprises, LLC (The Medicine Shoppe Pharmacy)
• Kirk E. Brockman M.D. Dba St. Clair Medical Center
• Sheri Knight
• Susan Elizabeth Lindemann, R.PH.
• Charlotte A Liston, OTR/L

• Speech-Language Pathologist in Saint Clair, MO
• Providers in Saint Clair, MO by specialty
• Speech-Language Pathologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.