Active NPI
Kelsey Anne Paul-Charlson, M.S.,CCC-SLP
- Speech-Language Pathologist
- North Liberty, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 077378
- Practice address
- 555 W Cherry St Ste 5
North Liberty, IA 52317-9800 - Phone
- (515) 219-7254
- Fax
- (515) 864-0740
- NPI assigned
- Mar 18, 2015
- Last updated
- Nov 1, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 077378 | IA | Primary |
Addresses
Primary practice location
555 W Cherry St Ste 5
North Liberty, IA 52317-9800
Mailing address
555 W Cherry St Ste 5
North Liberty, IA 52317-9800
Phone (515) 219-7254
Other names 1
- Kelsey Anne Paul
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
710 Pacha Pkwy
Unit 3
North Liberty, IA 52317-4824
Phone (515) 219-7254
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 077378 | IA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Speech-Ology, PLLC | Speech-Language Pathologist | Current | Accepting new patients |
Locations
6165 NW 86th St
Johnston, IA 50131
Phone (515) 252-2522
710 Pacha Pkwy
Unit 3
North Liberty, IA 52317
Phone (319) 855-7842
Organizations & group practices 1
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": "1426636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1793491200000",
"number": "1427441237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 W CHERRY ST STE 5",
"city": "NORTH LIBERTY",
"state": "IA",
"postal_code": "523179800",
"telephone_number": "515-219-7254",
"fax_number": "515-864-0740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 W CHERRY ST STE 5",
"city": "NORTH LIBERTY",
"state": "IA",
"postal_code": "523179800",
"telephone_number": "515-219-7254",
"fax_number": "515-864-0740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAUL-CHARLSON",
"first_name": "KELSEY",
"middle_name": "ANNE",
"credential": "M.S.,CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-03-18",
"last_updated": "2026-11-01",
"certification_date": "2026-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IA",
"license": "077378",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KELSEY",
"last_name": "PAUL",
"middle_name": "ANNE",
"credential": "M.S., CCC-SLP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in North Liberty, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.