Individual provider Active NPI

Kayse Geselle Herrera

  • Speech-Language Pathologist
  • Canton, MI
National Provider Identifier
1366230682
Registry record updated May 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7101009916 Issued in MI
Practice address
39453 Ford Rd
Canton, MI 48187-4320
Phone
(248) 277-3005
NPI assigned
Apr 28, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2026

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 7101009916 MI Primary

Addresses

Primary practice location

39453 Ford Rd
Canton, MI 48187-4320

Mailing address

39453 Ford Rd
Canton, MI 48187-4320
Phone (248) 277-3005

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260528000599 MI Practitioner - Qualified Speech Language Pathologist 9931679222 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

39453 Ford Rd
Canton, MI 48187-4320

44225 W 12 Mile Rd
Suite 106
Novi, MI 48377-2640

44670 Ann Arbor Rd W
Suite 130
Plymouth, MI 48170-4085

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7101009916MIMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Canton BCC LLC Speech-Language Pathologist CurrentSince Jul 6, 2026 Accepting new patients
Canton BCC LLC Speech-Language Pathologist CurrentSince Jul 6, 2026 Accepting new patients

Locations

39453 Ford Rd
Canton, MI 48187
Phone (248) 277-3005

Organizations & group practices 3

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": "1745798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779408000000",
    "number": "1366230682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39453 FORD RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481874320",
            "telephone_number": "248-277-3005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39453 FORD RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481874320",
            "telephone_number": "248-277-3005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRERA",
        "first_name": "KAYSE",
        "middle_name": "GESELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-28",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101009916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2026; 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.