Kelsey Anne Paul-Charlson, M.S.,CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

077378 Issued in IA

Practice address

710 Pacha Pkwy Unit 3
North Liberty, IA 52317-4824

Phone

(515) 219-7254

Fax

(515) 864-0740

NPI assigned

Mar 18, 2015

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

Other names 1

• Kelsey Anne Paul Former name

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Speech-Ology, PLLC

  • Speech-Language Pathologist
  • North Liberty, IA
  • NPI 1609532555
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1426636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1427441237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 PACHA PKWY UNIT 3",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523174824",
            "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": "710 PACHA PKWY UNIT 3",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523174824",
            "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": "2025-09-05",
        "certification_date": "2025-09-05",
        "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"
        }
    ]
}

• Peter Omollo
• Optimize Performance and Health
• Jaclyn Jo Ortgies, D.C.
• Brent A Overton, M.D.
• Jennifer Pape, OT
• Lori A Paulsen
• Tylor Petty, LMHC
• Elizabeth Katherine Pluemer, BA
• Marc A Polacco, MD
• Jill Marie Polio, DPT

• Speech-Language Pathologist in North Liberty, IA
• Providers in North Liberty, IA by specialty
• Speech-Language Pathologist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2025; 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.