Krystal Morgan

Individual provider Active NPI Speech-Language Pathologist · Petal, MS

NPI 1023988128 · NPPES record last updated Nov 5, 2025

Key facts

NPI
1023988128
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
S-5314 (MS)
Practice address
30 Melissa Loop
Petal, MS 39465-6303
Phone
(769) 224-0683
Fax
(601) 277-6453
NPI assigned
Nov 5, 2025
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
S-5314MSMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Speak Up Therapy, LLC Current
since Nov 9, 2025
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X S-5314 MS Yes

Addresses

Primary practice location

30 Melissa Loop
Petal, MS 39465-6303

Mailing address

711 Broad St
Columbia, MS 39429-3010

Other names

  • Krystal Morgan Graves Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 5, 2025.

{
    "created_epoch": "1762300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1023988128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 BROAD ST",
            "city": "COLUMBIA",
            "state": "MS",
            "postal_code": "394293010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 MELISSA LOOP",
            "city": "PETAL",
            "state": "MS",
            "postal_code": "394656303",
            "telephone_number": "769-224-0683",
            "fax_number": "601-277-6453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "KRYSTAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-05",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MS",
            "license": "S-5314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRYSTAL",
            "last_name": "GRAVES",
            "middle_name": "MORGAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Petal, MS

All providers in Petal, MS · Speech-Language Pathologist in Mississippi

Sources for this page

Verify at the official NPI Registry.