Organization Active NPI

Kessler Speech Therapy Services, Inc.

  • Speech-Language Pathologist
  • Saint Cloud, MN
National Provider Identifier
1326266842
Registry record updated Oct 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
5520 Issued in MN
Legal business name
KESSLER SPEECH THERAPY SERVICES, INC.
Practice address
2835 W Saint Germain St
#300
Saint Cloud, MN 56301-6280
Phone
(320) 215-5590
NPI assigned
Apr 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2016

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

Authorized official

Name
Jodell KesslerNPI 1437272317
Title
President, Ceo
Phone
(320) 251-5590

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 5520 MN Primary

Addresses

Primary practice location

2835 W Saint Germain St
#300
Saint Cloud, MN 56301-6280

Mailing address

PO Box 5123
Saint Cloud, MN 56302-5123

Other identifiers 13

IdentifierTypeStateIssuer
4600206OtherMNMEDICA
7985172OtherMNAETNA
4600206OtherMNSELECT CARE
7005573OtherMNPREFERRED ONE COMM HEALTH
1880044OtherMNMAYO MANAGEMENT
1A510KEOtherMNBLUE CROSS BLUE SHIELD
1A510KEOtherMNBLUE PLUS
645133OtherMNPRO NET
9390635OtherMNLUMENOS
01016518OtherMNPREFERRED ONE
115484OtherMNUCARE
7005573OtherMNPREFERRED ONE ADMIN SERV
1A510KEOtherMNBLUE LINK

National Provider Directory

National Provider Directory

Locations

600 25th Ave S
Ste 103
Saint Cloud, MN 56301

203 Cooper Ave N
Ste 350
Saint Cloud, MN 56303

2251 Connecticut Ave S
Ste 1112
Sartell, MN 56377

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475539200000",
    "number": "1326266842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5123",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563025123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2835 W SAINT GERMAIN ST",
            "address_2": "#300",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563016280",
            "telephone_number": "320-215-5590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KESSLER SPEECH THERAPY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-22",
        "last_updated": "2016-10-04",
        "status": "A",
        "authorized_official_last_name": "KESSLER",
        "authorized_official_first_name": "JODELL",
        "authorized_official_title_or_position": "PRESIDENT, CEO",
        "authorized_official_telephone_number": "320-251-5590"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "5520",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "4600206",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7985172",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SELECT CARE",
            "identifier": "4600206",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE COMM HEALTH",
            "identifier": "7005573",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAYO MANAGEMENT",
            "identifier": "1880044",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1A510KE",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE PLUS",
            "identifier": "1A510KE",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRO NET",
            "identifier": "645133",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LUMENOS",
            "identifier": "9390635",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "01016518",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "115484",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE ADMIN SERV",
            "identifier": "7005573",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE LINK",
            "identifier": "1A510KE",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2016; 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.