Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MRS. KELLY JO PAULSEN MS CCC-SLP
NPI 1750891529
Speech-Language Pathologist in Peoria Heights, IL

Active since October 06, 2017
911 E EUCLID AVE, PEORIA HEIGHTS, IL 61616(309) 682-8815 Get Directions Write a Review

NPPES record last updated: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 29, 2026, Jun 16, 2018 (2 updates tracked since 2018).

About Mrs. Kelly Jo Paulsen Ms Ccc-slp NPPES

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

MRS. KELLY JO PAULSEN MS CCC-SLP (NPI 1750891529) is an individual speech-language pathologist provider in Peoria Heights, Illinois, licensed in Illinois (146004766) and active in the NPI registry since October 2017.

NPPES Registry Identity

NPI1750891529
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMRS. KELLY JO PAULSENCredential: MS CCC-SLP
Location Address911 E EUCLID AVEPeoria Heights, IL 61616-5312
Mailing Address911 E Euclid AvePeoria Heights, IL 61616-5312
Sole ProprietorYes
Enumeration DateOctober 6, 2017
Last NPPES UpdateSeptember 29, 20262 updates tracked since enumeration
✔ NPI 1750891529 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 IL · 146004766
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.
911 E EUCLID AVE, Peoria Heights, IL 61616

Other Identifiers 1

Other146004766IL · Idfpr

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 Kelly Paulsen's NPI number?

The NPI number for Kelly Paulsen is 1750891529. It was assigned to this individual provider in the NPPES registry on October 6, 2017.

Where is Kelly Paulsen located?

Kelly Paulsen practices at 911 E Euclid Ave, Peoria Heights, IL 61616. The listed phone number is (309) 682-8815.

What is Kelly Paulsen's specialty?

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

When was this NPI record last updated?

The NPPES record for Kelly Paulsen was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.