Kelly Bourgeois Roussel, M.S., SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

6612 Issued in LA

Practice address

1959 Highway 3125 Ste 3
Lutcher, LA 70071-5641

Phone

(225) 258-9301

Fax

(225) 258-9300

NPI assigned

Oct 21, 2014

Last updated

Nov 18, 2022By 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

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• Roussel Therapy Services, LLC

  • Speech-Language Pathologist
  • Lutcher, LA
  • NPI 1336879840
  NPD Authorized official

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

{
    "created_epoch": "1413849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668729600000",
    "number": "1114321957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1959 HIGHWAY 3125 STE 3",
            "city": "LUTCHER",
            "state": "LA",
            "postal_code": "700715641",
            "telephone_number": "225-258-9301",
            "fax_number": "225-258-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1959 HIGHWAY 3125 STE 3",
            "city": "LUTCHER",
            "state": "LA",
            "postal_code": "700715641",
            "telephone_number": "225-258-9301",
            "fax_number": "225-258-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUSSEL",
        "first_name": "KELLY",
        "middle_name": "BOURGEOIS",
        "credential": "M.S., SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-21",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "6612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reaching Seniors
• Rejuvenate Health
• Riverlands Home Group, LLC (Chateau St. James Rehab and Retirement)
• Esther Phyllis Robichaux, RN CRNA
• Roussel Therapy Services, LLC
• Crystal Ann Rowell, NP
• Rpe,Inc (River Parishes Eyecare)
• Blaze Schifferstein
• Shelika Scott
• St James Parish Hosp Serv Dist (St James Surgical Specialists)

• Speech-Language Pathologist in Lutcher, LA
• Providers in Lutcher, LA by specialty
• Speech-Language Pathologist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.