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Active NPI 1346506789 Individual Practitioner Female Practitioner

Kelsey Sullivan , CCC-SLP

Speech-Language Pathologist • Glen Carbon, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kelsey Sullivan, CCC-SLP is a certified Speech-Language Pathologist practicing in Glen Carbon, IL. With approximately 15 years of clinical experience since completing medical education in 2011, Kelsey Sullivan delivers high-quality medical care to the local community at 200 S STATION RD.

Kelsey Sullivan accepts Medicare assignment.

Frequently performed procedures and clinical services include treatment of speech, language, voice, communication, and/or hearing processing disorder, evaluation of speech sound production with evaluation of language comprehension and expression. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

200 S Station Rd

Glen Carbon, IL 620342777

Telephone 6182885014
Associated Practice Facility / Clinic
🏢 Eden Retirement Center, Inc. Facility NPI 1073652921

Medicare Profile & Education

Medical School

Other

Graduation Year

2011

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Glen Carbon, IL

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
15 Yrs Matches City Avg
City Avg: 15.0 Yrs
State Avg: 13.2 Yrs
Regional Practice Density
16 Specialists

Practicing in Glen Carbon, IL (10321 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
45.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sullivan (15 Years) 15 Yrs
Glen Carbon Specialty Average (15.0 Years) 15.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92507 Treatment of speech, language, voice, communication, and/or hearing processing disorder
246 22 $159.00 $75.22
92523 Evaluation of speech sound production with evaluation of language comprehension and expression
13 12 $398.00 $226.18

Medical Specialties & State Licenses

CMS Verified: 2022-05-02
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License IL 146011094

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Melissa Suermann , COTA, L

Occupational Therapy Assistant

NPI 1093314593

Certified Occupational Therapy Assistant, L

Kyle Kinder

Occupational Therapy Assistant

NPI 1295583516
Emily Meads

Physical Therapy Assistant

NPI 1447919865
Nathan Richardson , PTA

Physical Therapy Assistant

NPI 1457019986

Physical Therapist Assistant

Carolyn Leftridge , PTA

Physical Therapy Assistant

NPI 1467163642

Physical Therapist Assistant

Blaine Scholes , PTA

Physical Therapy Assistant

NPI 1760122485

Physical Therapist Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
👤
Provider Name / Credentials Updated May 02, 2022

Recorded as KELSEY SULLIVAN, CCC-SLP

NPI Profile Active November 13, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location November 13, 2016

Registered at 200 S STATION RD, GLEN CARBON, IL 620342777 (Tel: 6182885014)

📍
Updated Business Mailing Address November 13, 2016

Registered at 209 W DIVISION ST, MARYVILLE, IL 620626831 (Tel: 6187191582)

👤
Provider Name / Credentials Updated November 13, 2016

Recorded as KELSEY HUBERT, CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 13, 2016

Speech-Language Pathologist (License #146011094 in IL)

🟢
Initial NPI Registration & Enumeration April 10, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1346506789
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 10, 2012
Last Update: May 02, 2022
Sole Proprietor: Yes

Mailing Address

209 W Division St

Maryville, IL 620626831

Phone: 6187191582

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.