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KELSEY JEAN VAN VICKLE
NPI 1316313091
Speech-Language Pathologist in Roseville, MN

Active since August 17, 2015
1935 COUNTY ROAD B2 W STE 100, ROSEVILLE, MN 55113(651) 636-4155(651) 636-3595 Get Directions Write a Review

NPPES record last updated: August 17, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kelsey Jean Van Vickle NPPES

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

KELSEY JEAN VAN VICKLE (NPI 1316313091) is an individual speech-language pathologist provider in Roseville, Minnesota, licensed in Minnesota (9542) and active in the NPI registry since August 2015.

NPPES Registry Identity

NPI1316313091
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameKELSEY JEAN VAN VICKLE
Location Address1935 COUNTY ROAD B2 W STE 100Roseville, MN 55113-2722
Mailing Address1947 Stinson BlvdMinneapolis, MN 55418-4820 · (612) 229-4087
Phone(651) 636-4155
Fax(651) 636-3595
Sole ProprietorNo
Enumeration DateAugust 17, 2015
✔ NPI 1316313091 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 MN · 9542
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.
1935 COUNTY ROAD B2 W STE 100, Roseville, MN 55113
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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.

RUTH CAROL ANDERSON-BENGE
Speech-Language Pathologist
1935 COUNTY ROAD B2 W STE 100
ROSEVILLE, MN 55113
Ramsey County (651) 636-4155
KATHLEEN WAGNER
Speech-Language Pathologist
1935 COUNTY ROAD B2 W STE 100
ROSEVILLE, MN 55113
Ramsey County (651) 636-4155

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 Kelsey Van Vickle's NPI number?

The NPI number for Kelsey Van Vickle is 1316313091. It was assigned to this individual provider in the NPPES registry on August 17, 2015.

Where is Kelsey Van Vickle located?

Kelsey Van Vickle practices at 1935 County Road B2 W Ste 100, Roseville, MN 55113. The listed phone number is (651) 636-4155.

What is Kelsey Van Vickle's specialty?

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

What insurance does Kelsey Van Vickle accept?

Health plans from Medica list Kelsey Van Vickle 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 Kelsey Van Vickle was last updated on August 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.