Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1396682183 Individual Practitioner Female Practitioner

Kellie Risberg , CCC, SLP

Speech-Language Pathologist • Bloomington, MN

Professional Overview & Biography Verified Profile Summary

Kellie Risberg, CCC, SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Bloomington, MN. Practice services are available at 8401 XERXES AVE S under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

8401 Xerxes Ave S

Bloomington, MN 554311631

Telephone 9528068937

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Bloomington, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.7 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
45 Specialists

Practicing in Bloomington, MN (3097 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: 2026-04-30
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

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

7 Associated Practitioners
Tess Byrnes , LMFT

Marriage & Family Therapist

NPI 1083546584

Licensed Marriage and Family Therapist

Livia Vanhorne

Social Worker - School

NPI 1548193071
Kirsten Dunn , MS OTR, L

Occupational Therapist

NPI 1578491932

MSOTR, L

Julie Cohen , MS

Speech-Language Pathologist

NPI 1649116658

Master of Science

Heather Evans

Speech-Language Pathologist

NPI 1750226106
Lisa List

Speech-Language Pathologist

NPI 1801720735

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active April 30, 2026

NPI status registered as active in NPPES database

📍
Updated Practice Location April 30, 2026

Registered at 8401 XERXES AVE S, BLOOMINGTON, MN 554311631 (Tel: 9528068937)

📍
Updated Business Mailing Address April 30, 2026

Registered at 8401 XERXES AVE S, BLOOMINGTON, MN 554311631

👤
Provider Name / Credentials Updated April 30, 2026

Recorded as KELLIE RISBERG, CCC/SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 30, 2026

Speech-Language Pathologist

🟢
Initial NPI Registration & Enumeration April 30, 2026

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: 1396682183
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 30, 2026
Last Update: April 30, 2026
Sole Proprietor: No

Mailing Address

8401 Xerxes Ave S

Bloomington, MN 554311631

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.