KELLY MARIE LIEBERGEN
NPI 1063062271
Speech-Language Pathologist in Greenfield, WI

Q: What is Kelly Liebergen's NPI number?

The NPI number for Kelly Liebergen is 1063062271. It was assigned to this individual provider in the NPPES registry on September 19, 2019.

Q: What is Kelly Liebergen's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Liebergen was last updated on November 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 19, 2019

9000 W SURA LN, GREENFIELD, WI 53228(414) 246-6800 Get Directions Write a Review

NPPES record last updated: November 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 5, 2025, Jan 3, 2022, Oct 21, 2021 and 1 more (4 updates tracked since 2019).

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About Kelly Marie Liebergen NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY MARIE LIEBERGEN (NPI 1063062271) is an individual speech-language pathologist provider in Greenfield, Wisconsin, licensed in Wisconsin (L162-5009-3930-07) and active in the NPI registry since September 2019. She maintains a secondary practice location in Manitowoc.

NPPES Registry Identity

NPI1063062271

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameKELLY MARIE LIEBERGEN

Location Address9000 W SURA LNGreenfield, WI 53228-3477

Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250

Phone(414) 246-6800

Sole ProprietorNo

Enumeration DateSeptember 19, 2019

Last NPPES UpdateNovember 5, 20254 updates tracked since enumeration

NPPES CertifiedNovember 5, 2025

✔ NPI 1063062271 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

License✔ Licensed in WI · L162-5009-3930-07

Definition

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.

9000 W SURA LN, Greenfield, WI 53228

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Secondary Practice Location 1

Location 11650 S 41st StManitowoc, WI 54220-7316 · Phone (920) 320-3100 · Fax (920) 320-5114

Other Identifiers 1

Medicaid100094667WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare), Quartz, UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEPHANEY ANNE BUBLITZ OTR/L

Occupational Therapist