Active NPI
Raegan Mae Stanley, SLP
- Speech-Language Pathologist
- Virginia Beach, VA
National Provider Identifier
1053761437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2202009502
- Practice address
- 900 Commonwealth PL Ste 200
Virginia Beach, VA 23464-4530 - Phone
- (570) 317-1997
- NPI assigned
- Jun 16, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 34243 | CA | |
| Speech-Language Pathologist | 235Z00000X | SL012895 | PA | |
| Audiologist-Hearing Aid Fitter | 237600000X | 10975 | MD | |
| Speech-Language Pathologist | 235Z00000X | 2202009502 | VA | Primary |
Addresses
Primary practice location
900 Commonwealth PL Ste 200
Virginia Beach, VA 23464-4530
Mailing address
650 N Shoreline Dr
Wasilla, AK 99654-6677
Phone (907) 376-6363
Other names 1
- Raegan M Guelich
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, PA, NJ
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
300 1St Ave
Suite 103
Needham, MA 02494-2736
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SL012895 | PA | MD | Speech-Language Pathologist |
| 2202009502 | VA | MD | Speech-Language Pathologist |
| 10975 | MD | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Just Saying Speech Therapy LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Holistic Pain Management of Wyoming, LLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Speech-Language Pathologist
- Bloomsburg, PA
- NPI 1699508960
-
- Family Nurse Practitioner
- Riverton, WY
- NPI 1487295846
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756166400000",
"number": "1053761437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 N SHORELINE DR",
"city": "WASILLA",
"state": "AK",
"postal_code": "996546677",
"telephone_number": "907-376-6363",
"fax_number": "907-376-6366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 COMMONWEALTH PL STE 200",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234644530",
"telephone_number": "570-317-1997"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANLEY",
"first_name": "RAEGAN",
"middle_name": "MAE",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-16",
"last_updated": "2025-08-26",
"certification_date": "2025-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "34243",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PA",
"license": "SL012895",
"primary": false
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "MD",
"license": "10975",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "VA",
"license": "2202009502",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RAEGAN",
"last_name": "GUELICH",
"middle_name": "M",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.