1. Home
  2. Directory
  3. Utah
  4. Logan
  5. Speech Language Pathologist
  6. NPI Profile

MRS. KEELY MARIE PERKES MA, CCC-SLP
NPI 1356053607
Speech-Language Pathologist in Logan, UT

Active since December 19, 2022
6410 OLD MAIN HL, LOGAN, UT 84322(435) 797-4200 Get Directions Write a Review

NPPES record last updated: December 19, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Keely Marie Perkes Ma, Ccc-slp NPPES

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

MRS. KEELY MARIE PERKES MA, CCC-SLP (NPI 1356053607) is an individual speech-language pathologist provider in Logan, Utah, licensed in Utah (9404283-4102) and active in the NPI registry since December 2022.

NPPES Registry Identity

NPI1356053607
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMRS. KEELY MARIE PERKESCredential: MA, CCC-SLP
Location Address6410 OLD MAIN HLLogan, UT 84322-6410
Mailing Address1308 E 480 SHyrum, UT 84319-7116 · (801) 390-2083
Phone(435) 797-4200
Sole ProprietorNo
Enumeration DateDecember 19, 2022
NPPES CertifiedDecember 17, 2022
✔ NPI 1356053607 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 UT · 9404283-4102
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.
6410 OLD MAIN HL, Logan, UT 84322
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Keely Marie Perkes Ma, Ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Keely Perkes reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Utah State University
4.6 mi
Specialist
6405 OLD MAIN HILL
Logan, UT 84322
  • Reassigned Medicare billing, Utah enrollment
  • 22 clinicians in this Medicare group
NPI 1447715701 (435) 797-7430

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 10

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

DR. ANDREA SUZETTE PAGE AUD
Audiologist
6410 OLD MAIN HL
LOGAN, UT 84322
Cache County (435) 797-1374
UTAH STATE UNIVERSITY
Audiologist
6410 OLD MAIN HL
LOGAN, UT 84322
Cache County (435) 797-1346
SHARON V FAIRBOURN CCC-SLP
Speech-Language Pathologist
6410 OLD MAIN HL
LOGAN, UT 84322
Cache County (435) 797-9234
DR. DAPHNE URSULA HARTZHEIM PH.D. CCC-SLP, BCBA
Speech-Language Pathologist
6410 OLD MAIN HL
LOGAN, UT 84322
Cache County (435) 797-1375
DR. AMY ANN PORTER AU.D., CCC-A
Audiologist
6410 OLD MAIN HL
LOGAN, UT 84322
Cache County (435) 797-1373
JARED AUSTIN FULGHAM CCC-SLP
Speech-Language Pathologist
6410 OLD MAIN HL
LOGAN, UT 84322
Cache County (435) 797-1375
LAURA LEE BARDSLEY SCHMITT SLP
Speech-Language Pathologist
6410 OLD MAIN HL
LOGAN, UT 84322
Cache County (435) 797-1375
DR. TANNER EGAN PRICE AUD
Audiologist
6410 OLD MAIN HL
LOGAN, UT 84322
Cache County (435) 797-9234

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 Keely Perkes's NPI number?

The NPI number for Keely Perkes is 1356053607. It was assigned to this individual provider in the NPPES registry on December 19, 2022.

Where is Keely Perkes located?

Keely Perkes practices at 6410 Old Main Hl, Logan, UT 84322. The listed phone number is (435) 797-4200.

What is Keely Perkes's specialty?

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

Is Keely Perkes enrolled in Medicare?

Yes. Keely Perkes is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Keely Perkes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Keely Perkes reassigns Medicare benefits to Utah State University (Logan, UT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Keely Perkes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Keely Perkes accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Keely Perkes 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 Keely Perkes was last updated on December 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.