Individual provider Active NPI

Kelsey Rose Orlando

  • Speech-Language Pathologist
  • Washington TWP, MI
National Provider Identifier
1174981963
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7101004701 Issued in MI
Practice address
65899 Van Dyke Ave
Washington TWP, MI 48095-2014
Phone
(586) 942-2620
Fax
(586) 317-6677
NPI assigned
Feb 8, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 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 7101004701 MI Primary

Addresses

Primary practice location

65899 Van Dyke Ave
Washington TWP, MI 48095-2014

Mailing address

65899 Van Dyke Ave
Washington, MI 48095-2014
Phone (586) 942-2620

Other identifiers 3

IdentifierTypeStateIssuer
1174981963OtherMIBLUE CROSS
1174981963OtherMIBLUE CARE NETWORK
1174981963MedicaidMI

Other names 1

  • Kelsey Rose Voss Professional name

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7101004701MIMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Pediatric Therapy LLC Speech-Language Pathologist CurrentSince Oct 1, 2023 Accepting new patients
Lifelab Kids Foundation Speech-Language Pathologist PastSince Dec 1, 2019 Accepting new patients

Locations

65899 Van Dyke Rd
Washington Twp, MI 48095
Phone (586) 942-2620

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1454889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708041600000",
    "number": "1174981963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65899 VAN DYKE AVE",
            "city": "WASHINGTON",
            "state": "MI",
            "postal_code": "480952014",
            "telephone_number": "586-942-2620",
            "fax_number": "586-317-6677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65899 VAN DYKE AVE",
            "city": "WASHINGTON TWP",
            "state": "MI",
            "postal_code": "480952014",
            "telephone_number": "586-942-2620",
            "fax_number": "586-317-6677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORLANDO",
        "first_name": "KELSEY",
        "middle_name": "ROSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-08",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101004701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "1174981963",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "1174981963",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1174981963",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELSEY",
            "last_name": "VOSS",
            "middle_name": "ROSE",
            "credential": "MS CCC-SLP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Washington TWP, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; 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.