Individual provider Active NPI

Kayla Marie Colussi

  • Speech-Language Pathologist
  • Glendale, AZ
National Provider Identifier
1649034315
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP17350 Issued in AZ
Practice address
6635 W Happy Valley Rd Ste A104-218
Glendale, AZ 85310-2609
Phone
(623) 224-1214
NPI assigned
Feb 12, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP17350 AZ Primary

Addresses

Primary practice location

6635 W Happy Valley Rd Ste A104-218
Glendale, AZ 85310-2609

Mailing address

49023 N 25TH Ave
New River, AZ 85087-8554

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
TSLP16422AZMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Allegiant Therapy LLC. Speech-Language Pathologist PastSince Feb 1, 2024 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1707696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1649034315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49023 N 25TH AVE",
            "city": "NEW RIVER",
            "state": "AZ",
            "postal_code": "850878554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6635 W HAPPY VALLEY RD STE A104-218",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853102609",
            "telephone_number": "623-224-1214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLUSSI",
        "first_name": "KAYLA",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-12",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP17350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.