Individual provider Active NPI

Rachael Anne Harrelson, MS CCC-SLP

  • Speech-Language Pathologist
  • Burleson, TX
National Provider Identifier
1972971190
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
114787 Issued in TX
Practice address
312 E Renfro St Ste 107
Burleson, TX 76028-3948
Phone
(817) 239-2284
Fax
(817) 213-6243
NPI assigned
Sep 3, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X
Speech-Language Pathologist 235Z00000X 114787 TX Primary

Addresses

Primary practice location

312 E Renfro St Ste 107
Burleson, TX 76028-3948

Mailing address

312 E Renfro St Ste 107
Burleson, TX 76028-3948
Phone (817) 239-2284

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rachael@southernstarspeech.com Direct

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
114787TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Star Pediatric Speech Therapy, PLLC Single Specialty PastSince Apr 9, 2023 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": "1441238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1972971190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 E RENFRO ST STE 107",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760283948",
            "telephone_number": "817-239-2284",
            "fax_number": "817-213-6243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 E RENFRO ST STE 107",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760283948",
            "telephone_number": "817-239-2284",
            "fax_number": "817-213-6243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRELSON",
        "first_name": "RACHAEL",
        "middle_name": "ANNE",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-03",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "114787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rachael@southernstarspeech.com",
            "affiliation": "N",
            "endpointDescription": "HIPPA email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "312 E Renfro St Ste 107",
            "city": "Burleson",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760283948",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Burleson, TX

Sources for this page

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