Kellie Regina Henkel, MS CCC SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

15547 Issued in CA

Practice address

4609 Appaloosa TRL
Santa Maria, CA 93455-6059

Phone

(805) 350-1811

NPI assigned

Feb 24, 2016

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Lights on Learning

  • Speech-Language Pathologist
  • Orcutt, CA
  • NPI 1659183044
  NPD
• Open Doors Counseling Center, LLC

  • Mental Health Counselor
  • Lexington, KY
  • NPI 1265072219
  NPD

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

{
    "created_epoch": "1456272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1083074629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4609 APPALOOSA TRL",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934556059",
            "telephone_number": "805-350-1811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4609 APPALOOSA TRL",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934556059",
            "telephone_number": "805-350-1811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENKEL",
        "first_name": "KELLIE",
        "middle_name": "REGINA",
        "credential": "MS CCC SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-24",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "15547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard J Healy, DDS
• Michael Heck, CATC IV RAS IV
• Katherine Hedden
• Lacey Marie Hemeon, LPT
• Hendrick Gonzalez DDS Inc
• John Drew Hennessey, LPT
• Kevin Michael Henry, M.D.
• Levi Alford Henry, M.A., P.P.S.
• Melissa Ann Hensiek
• Bryan Heredia

• Speech-Language Pathologist in Santa Maria, CA
• Providers in Santa Maria, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; 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.