Individual provider Active NPI

Jacquelyn Gasser, MA, CCC-SLP

  • Speech-Language Pathologist
  • Canton, MI
National Provider Identifier
1811510878
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7101008374 Issued in MI
Practice address
39453 Ford Rd
Canton, MI 48187-4320
Phone
(248) 277-3005
NPI assigned
May 26, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 7152000316 MI
Speech-Language Pathologist 235Z00000X 7101008374 MI Primary

Addresses

Primary practice location

39453 Ford Rd
Canton, MI 48187-4320

Mailing address

39453 Ford Rd
Canton, MI 48187-4320
Phone (248) 277-3005

Other names 1

  • Jacquelyn Kielb Former name

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)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
7101008374MIMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Canton BCC LLC Speech-Language Pathologist PastSince Jun 2, 2024 Accepting new patients
BWC Brighton LLC Speech-Language Pathologist PastSince Jul 1, 2022 Accepting new patients
Residential Options, Inc. PastSince May 1, 2020 Accepting new patients
BWC Brighton LLC Speech-Language Pathologist PastSince Jun 2, 2024 Accepting new patients
Canton BCC LLC Speech-Language Pathologist PastSince Sep 29, 2024 Accepting new patients

Organizations & group practices 5

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": "1590451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768176000000",
    "number": "1811510878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39453 FORD RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481874320",
            "telephone_number": "248-277-3005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39453 FORD RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481874320",
            "telephone_number": "248-277-3005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASSER",
        "first_name": "JACQUELYN",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-26",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7152000316",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101008374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELYN",
            "last_name": "KIELB",
            "credential": "MA, CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Canton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.