Individual provider Active NPI

Chelsey J. Kjono, SLP

  • Speech-Language Pathologist
  • Grand Forks, ND
National Provider Identifier
1841583820
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1249 Issued in ND
Practice address
2512 S Washington St Ste C
Grand Forks, ND 58201
Phone
(701) 330-4818
Fax
(701) 335-7242
NPI assigned
May 24, 2011
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 9047 MN
Speech-Language Pathologist 235Z00000X 1249 ND Primary
Speech-Language Pathologist 235Z00000X C-4909 NM

Addresses

Primary practice location

2512 S Washington St Ste C
Grand Forks, ND 58201

Mailing address

2512 S Washington St Ste C
Grand Forks, ND 58201-6772
Phone (701) 330-4818

Other practice location 1

2600 DeMers Ave Ste 106
Grand Forks, ND 58201-4100
Phone (701) 739-5437

Other practice location 2

2600 DeMers Ave Ste 106
Grand Forks, ND 58201-4100
Phone (701) 739-5437

Other names 1

  • Chelsey J. Paradis Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130509000434 ND Practitioner - Qualified Speech Language Pathologist 5890932917 Receives reassigned benefits from 2 practitioners
Practice locations: Grand Forks, ND

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9047MNMDSpeech-Language Pathologist
C-4909NMMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Chelsey Kjono Speech-Language Pathologist CurrentSince Sep 15, 2019 Accepting new patients
Pediatric Therapy Partners, Inc. Speech-Language Pathologist PastSince Aug 24, 2016 Accepting new patients

Locations

2512 S Washington St
Ste C
Grand Forks, ND 58201
Phone (701) 330-4818

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1306195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1841583820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2512 S WASHINGTON ST STE C",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582016772",
            "telephone_number": "701-330-4818",
            "fax_number": "701-335-7242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2512 S WASHINGTON ST STE C",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "58201",
            "telephone_number": "701-330-4818",
            "fax_number": "701-335-7242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2600 DeMers Ave Ste 106",
            "address_purpose": "LOCATION",
            "city": "Grand Forks",
            "state": "ND",
            "postal_code": "582014100",
            "country_code": "US",
            "telephone_number": "701-739-5437",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2600 DeMers Ave Ste 106",
            "address_purpose": "LOCATION",
            "city": "Grand Forks",
            "state": "ND",
            "postal_code": "582014100",
            "country_code": "US",
            "telephone_number": "701-739-5437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KJONO",
        "first_name": "CHELSEY",
        "middle_name": "J.",
        "name_prefix": "Ms.",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-24",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "9047",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ND",
            "license": "1249",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "C-4909",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHELSEY",
            "last_name": "PARADIS",
            "middle_name": "J.",
            "credential": "SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grand Forks, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.