Individual provider Active NPI

Jennifer Rose Kelley, M.S.

  • Speech-Language Pathologist
  • Westborough, MA
National Provider Identifier
1871012013
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP78486 Issued in MA
Practice address
33 Lyman St Ste 103B
Westborough, MA 01581-5403
Phone
(774) 393-1849
NPI assigned
Sep 19, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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 SLP78486 MA Primary

Addresses

Primary practice location

33 Lyman St Ste 103B
Westborough, MA 01581-5403

Mailing address

23 Mumford Rd
Sutton, MA 01590-1618
Phone (603) 519-0940

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SLP78486MAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kids N Fun Therapy LLP CurrentSince Nov 24, 2025 Accepting new patients

Locations

33 Lyman St
Ste 103B
Westborough, MA 01581
Phone (774) 393-1849

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": "1505779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1871012013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 MUMFORD RD",
            "city": "SUTTON",
            "state": "MA",
            "postal_code": "015901618",
            "telephone_number": "603-519-0940",
            "fax_number": "603-519-0940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 LYMAN ST STE 103B",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015815403",
            "telephone_number": "774-393-1849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "JENNIFER",
        "middle_name": "ROSE",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-19",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "SLP78486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westborough, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; 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.