Individual provider Active NPI

Kelly Hooper Englehardt, MS, CCC-SLP

  • Speech-Language Pathologist
  • Covington, LA
National Provider Identifier
1083467559
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
5466 Issued in LA
Practice address
601 Holy Trinity Dr
Covington, LA 70433-6230
Phone
(985) 237-3158
NPI assigned
Apr 8, 2024
Last updated
Apr 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 5466 LA Primary

Addresses

Primary practice location

601 Holy Trinity Dr
Covington, LA 70433-6230

Mailing address

290 Kissena Park CT
Covington, LA 70435-0280
Phone (985) 237-3158

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240419002637 LA Practitioner - Qualified Speech Language Pathologist 7012356264 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

601 Holy Trinity Dr
Covington, LA 70433-6230
Phone (985) 298-2064

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
5466LAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Healthpro Heritage Rehab & Fitness, LLC Speech-Language Pathologist CurrentSince Mar 10, 2024 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Speech-Language Pathologist CurrentSince Mar 10, 2024 Accepting new patients

Locations

270 Ashton Plantation Blvd
Luling, LA 70070
Phone (985) 236-1345

3732 W Esplanade Ave S
Metairie, LA 70002
Phone (504) 318-0380

2832 Burdette St
New Orleans, LA 70125
Phone (504) 866-2741

900 Johnson St
Tallulah, LA 71282
Phone (318) 395-2241

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1712534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1083467559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 KISSENA PARK CT",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704350280",
            "telephone_number": "985-237-3158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 HOLY TRINITY DR",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704336230",
            "telephone_number": "985-237-3158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGLEHARDT",
        "first_name": "KELLY",
        "middle_name": "HOOPER",
        "name_prefix": "Ms.",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-08",
        "last_updated": "2024-04-08",
        "certification_date": "2024-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "5466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; 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.

Verify at the official NPI Registry.