Kelsey Porter

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

41YS01283600 Issued in NJ

Practice address

2148 Ashford Dr
Clovis, NM 88101-4469

Phone

(575) 935-1178

Fax

(575) 935-1177

NPI assigned

Aug 8, 2023

Last updated

Apr 24, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Exceptional Kidz Rehabilitation

  dba Exceptional Therapies

  • Speech-Language Pathologist
  • Pemberton, NJ
  • NPI 1467738492

  Behavior Analyst

  NPD (past)

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

{
    "created_epoch": "1691452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776988800000",
    "number": "1790468650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9957B CHARIOT LOOP",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881012432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2148 ASHFORD DR",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881014469",
            "telephone_number": "575-935-1178",
            "fax_number": "575-935-1177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "KELSEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-08",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS01283600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janeesha Pleasant
• Riggs Celecio Poblete, PT
• Caitlin Young Pollard, DHSC
• Joseph Thomas Pope, OD
• Karah Markie Porcaro
• Marisol Portillo
• Erika Smith Potts, FNP-BC
• Heather Christine Powell, RN
• Practical Solutions Enterprises, LLC (Connect Counseling)
• Presbyterian Healthcare Services (Clovis Swing Bed SNF)

• Speech-Language Pathologist in Clovis, NM
• Providers in Clovis, NM by specialty
• Speech-Language Pathologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.