Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1699411876 Individual Practitioner Female Practitioner

Kelci Wysor-Tisch

Speech-Language Pathologist • Justin, TX

Professional Overview & Biography Verified Profile Summary

Kelci Wysor-Tisch is a registered healthcare professional specializing in Speech-Language Pathologist in Justin, TX. Practice services are available at 2001 TEXAN DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2001 Texan Dr

Justin, TX 762478791

Telephone 8152150000

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Justin, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 19.0 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
25 Specialists

Practicing in Justin, TX (17210 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: 2026-08-05
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License TX 117012

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

15 Associated Practitioners
Darbi Poe , MS, CCC-SLP

Speech-Language Pathologist

NPI 1063616530

Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence)

Christina Gordon , SLP INTERN

Speech-Language Pathologist

NPI 1144090473

SLPINTERN

Christy Jackson , MS CCC SLP

Speech-Language Pathologist

NPI 1174170591

MSCCCSLP

Hilary Ely

Speech-Language Pathologist

NPI 1194498519
Cristina Melendez

Speech-Language Pathologist

NPI 1255691481
Caitlyn Smith , MS, CCC-SLP

Speech-Language Pathologist

NPI 1265186043

Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence)

Career & Practice History Timeline

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

12 Historical Events
📍
Updated Practice Location August 16, 2024

Registered at 2001 TEXAN DR, JUSTIN, TX 762478791 (Tel: 8152150000)

📍
Updated Business Mailing Address August 16, 2024

Registered at 2001 TEXAN DR, JUSTIN, TX 762478791 (Tel: 8152150000)

📍
Updated Practice Location December 22, 2023

Registered at 1013 GILLESPIE DR, JUSTIN, TX 762471958 (Tel: 2405950785)

📍
Updated Business Mailing Address December 22, 2023

Registered at 1013 GILLESPIE DR, JUSTIN, TX 762471958 (Tel: 2405950785)

📍
Updated Practice Location September 15, 2022

Registered at 2425 E SOUTHLAKE BLVD STE 100, SOUTHLAKE, TX 760926675 (Tel: 8174420222)

📍
Updated Business Mailing Address September 15, 2022

Registered at 2425 E SOUTHLAKE BLVD STE 100, SOUTHLAKE, TX 760926675 (Tel: 8174420222)

NPI Profile Active May 10, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location May 10, 2022

Registered at 1013 GILLESPIE DR, JUSTIN, TX 762471958 (Tel: 2405950785)

📍
Updated Business Mailing Address May 10, 2022

Registered at 1013 GILLESPIE DR, JUSTIN, TX 762471958

👤
Provider Name / Credentials Updated May 10, 2022

Recorded as KELCI WYSOR-TISCH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 10, 2022

Speech-Language Pathologist (License #117012 in TX)

🟢
Initial NPI Registration & Enumeration May 10, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1699411876
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 10, 2022
Last Update: August 05, 2026
Sole Proprietor: Yes

Mailing Address

2001 Texan Dr

Justin, TX 762478791

Phone: 8152150000

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.