Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1811645617 Individual Practitioner Female Practitioner

Kelly Vandergiessen , MA CCC-SLP

Speech-Language Pathologist • Jackson, MI

Professional Overview & Biography Verified Profile Summary

Kelly Vandergiessen, MA CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Jackson, MI. Practice services are available at 2282 SPRINGPORT RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2282 Springport Rd

Jackson, MI 492021432

Telephone 5177689791
Associated Practice Facility / Clinic
🏢 The Cascade Pace, Inc. Facility NPI 1083071823

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Jackson, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.3 Yrs
State Avg: 12.5 Yrs
Regional Practice Density
56 Specialists

Practicing in Jackson, MI (3778 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-03-11
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License MI 7101003528

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
April Kral , OT

Occupational Therapist

NPI 1275035883

Occupational Therapist

Dawn Buchbinder , LMSW

Social Worker - Clinical

NPI 1376105247

Licensed Master Social Worker

Jessie Hart

Nurse Practitioner - Gerontology

NPI 1467169748
Cynthia Mercier , PT

Physical Therapist

NPI 1760984330

Physical Therapist

Lori Burns , PTA

Physical Therapy Assistant

NPI 1780358515

Physical Therapist Assistant

Karla Bernath , MS, RD

Dietitian, Registered

NPI 1942974027

Master of Science, Registered Dietitian

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active March 11, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location March 11, 2022

Registered at 2282 SPRINGPORT RD, JACKSON, MI 492021432 (Tel: 5177689791)

📍
Updated Business Mailing Address March 11, 2022

Registered at 1071 S COLLEGE RD, MASON, MI 488549707 (Tel: 6162912247)

👤
Provider Name / Credentials Updated March 11, 2022

Recorded as KELLY VANDERGIESSEN, MA CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 11, 2022

Speech-Language Pathologist (License #7101003528 in MI)

🟢
Initial NPI Registration & Enumeration March 11, 2022

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: 1811645617
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 11, 2022
Last Update: March 11, 2022
Sole Proprietor: Yes

Mailing Address

1071 S College Rd

Mason, MI 488549707

Phone: 6162912247

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.