Active NPI
Southern Star Pediatric Speech Therapy, PLLC
- Speech-Language Pathologist
- Burleson, TX
National Provider Identifier
1558066233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- SOUTHERN STAR PEDIATRIC SPEECH THERAPY, PLLC
- Practice address
- 312 E Renfro St Ste 107
Burleson, TX 76028-3948 - Phone
- (817) 239-2284
- Fax
- (817) 213-6243
- NPI assigned
- Apr 3, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rachael Anne Harrelson, CCC-SLP
- Title
- Speech Language Pathologist
- Phone
- (817) 239-2284
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
312 E Renfro St Ste 107
Burleson, TX 76028-3948
Mailing address
312 E Renfro St Ste 107
Burleson, TX 76028-3948
Phone (817) 239-2284
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 444106501 | Medicaid | TX |
Other names 2
- Rachael Harrelson, Southern Star Pediatric Speech Therapy, PLLC
- Southern Star Speech and Language Therapy
National Provider Directory
National Provider DirectoryLocations
312 E Renfro St
Ste 206
Burleson, TX 76028
Phone (832) 230-1518
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Burleson, TX
- NPI 1972971190
Single Specialty
-
- Speech-Language Assistant
- Burleson, TX
- NPI 1760331912
-
- Student in an Organized Health Care Education/Training Program
- Round Rock, TX
- NPI 1710605985
-
- Speech-Language Assistant
- Arlington, TX
- NPI 1518437201
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680480000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788825600000",
"number": "1558066233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "312 E RENFRO ST STE 107",
"city": "BURLESON",
"state": "TX",
"postal_code": "760283948",
"telephone_number": "817-239-2284",
"fax_number": "817-213-6243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "312 E RENFRO ST STE 107",
"city": "BURLESON",
"state": "TX",
"postal_code": "760283948",
"telephone_number": "817-239-2284",
"fax_number": "817-213-6243"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHERN STAR PEDIATRIC SPEECH THERAPY, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-04-03",
"last_updated": "2026-09-08",
"certification_date": "2026-09-08",
"status": "A",
"authorized_official_last_name": "HARRELSON",
"authorized_official_first_name": "RACHAEL",
"authorized_official_middle_name": "ANNE",
"authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
"authorized_official_telephone_number": "817-239-2284",
"authorized_official_credential": "CCC-SLP"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "444106501",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Rachael Harrelson, Southern Star Pediatric Speech Therapy, PLLC",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Southern Star Speech and Language Therapy",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Burleson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.