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KELLI VAN DER HEIDE
NPI 1134523020
Speech-Language Pathologist in Ada, MI

Active since October 21, 2014
4670 FULTON ST E STE 201, ADA, MI 49301(616) 591-2905 Get Directions Write a Review

NPPES record last updated: September 15, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kelli Van Der Heide NPPES

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

KELLI VAN DER HEIDE (NPI 1134523020) is an individual speech-language pathologist provider in Ada, Michigan, licensed in Michigan (7101004541) and active in the NPI registry since October 2014.

NPPES Registry Identity

NPI1134523020
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameKELLI VAN DER HEIDE
Location Address4670 FULTON ST E STE 201Ada, MI 49301-8409
Mailing Address4670 Fulton St E Ste 201Ada, MI 49301-8409
Phone(616) 591-2905
Sole ProprietorNo
Enumeration DateOctober 21, 2014
Last NPPES UpdateSeptember 15, 2025
NPPES CertifiedSeptember 15, 2025
✔ NPI 1134523020 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 MI · 7101004541
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.
4670 FULTON ST E STE 201, Ada, MI 49301
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Other Names 1

Former Name (1)Kelli Van Wyk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Other Providers at the Same Location NPPES 2

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

CAITLIN LEIGH SHEA MSOT, OTR/L
Occupational Therapist
4670 FULTON ST E STE 201
ADA, MI 49301
Kent County (616) 591-2905
JILL NICOLE MILLER MS, CCC-SLP
Speech-Language Pathologist
4670 FULTON ST E STE 201
ADA, MI 49301
Kent County (616) 591-2905

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelli Van Der Heide's NPI number?

The NPI number for Kelli Van Der Heide is 1134523020. It was assigned to this individual provider in the NPPES registry on October 21, 2014. The provider is also known as Kelli Van Wyk.

Where is Kelli Van Der Heide located?

Kelli Van Der Heide practices at 4670 Fulton St E Ste 201, Ada, MI 49301. The listed phone number is (616) 591-2905.

What is Kelli Van Der Heide's specialty?

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

What insurance does Kelli Van Der Heide accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Kelli Van Der Heide as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelli Van Der Heide was last updated on September 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.