Organization Active NPI

Speech-Ology, PLLC

  • Speech-Language Pathologist
  • North Liberty, IA
National Provider Identifier
1609532555
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
SPEECH-OLOGY, PLLC
Practice address
710 Pacha Pkwy Unit 3
North Liberty, IA 52317-4824
Phone
(515) 219-7254
Fax
(515) 864-0740
NPI assigned
Nov 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

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

Authorized official

Name
Kelsey Anne Paul-Charlson, M.S., CCC-SLPNPI 1427441237
Title
Owner & Speech Language Pathologist
Phone
(515) 219-7254

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

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

Mailing address

710 Pacha Pkwy Unit 3
North Liberty, IA 52317-4824
Phone (515) 219-7254

Other names 3

  • Speech-ology Doing business as
  • Iowa Speech-ology Other name
  • Speechology Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211220000612 IA Part B Supplier - Clinic/Group Practice 3678964095 Receives reassigned benefits from 1 practitioner
Practice locations: North Liberty, IA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1636934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757030400000",
    "number": "1609532555",
    "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": {
        "organization_name": "SPEECH-OLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-15",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A",
        "authorized_official_last_name": "PAUL-CHARLSON",
        "authorized_official_first_name": "KELSEY",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER & SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "515-219-7254",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Speech-ology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Iowa Speech-ology",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Speechology",
            "code": "5",
            "type": "Other 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 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.