Organization Active NPI

Southern Star Pediatric Speech Therapy, PLLC

  • Speech-Language Pathologist
  • Burleson, TX
National Provider Identifier
1558066233
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
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

Updated by the provider on Sep 8, 2026

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

Authorized official

Name
Rachael Anne Harrelson, CCC-SLPNPI 1972971190
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)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
444106501MedicaidTX

Other names 2

  • Rachael Harrelson, Southern Star Pediatric Speech Therapy, PLLC Doing business as
  • Southern Star Speech and Language Therapy Former legal business name

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.