KELLY VANDERGIESSEN MA CCC-SLP
NPI 1811645617
Speech-Language Pathologist in Jackson, MI

Q: What is Kelly Vandergiessen's NPI number?

The NPI number for Kelly Vandergiessen is 1811645617. It was assigned to this individual provider in the NPPES registry on March 11, 2022.

Q: What is Kelly Vandergiessen's specialty?

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

Active since March 11, 2022

2282 SPRINGPORT RD, JACKSON, MI 49202(517) 768-9791 Get Directions Write a Review

NPPES record last updated: March 11, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kelly Vandergiessen Ma Ccc-slp NPPES

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

KELLY VANDERGIESSEN MA CCC-SLP (NPI 1811645617) is an individual speech-language pathologist provider in Jackson, Michigan, licensed in Michigan (7101003528) and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1811645617

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameKELLY VANDERGIESSENCredential: MA CCC-SLP

Location Address2282 SPRINGPORT RDJackson, MI 49202-1432

Mailing Address1071 S College RdMason, MI 48854-9707 · (616) 291-2247

Phone(517) 768-9791

Sole ProprietorYes

Enumeration DateMarch 11, 2022

NPPES CertifiedMarch 11, 2022

✔ NPI 1811645617 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 · 7101003528

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.

2282 SPRINGPORT RD, Jackson, MI 49202

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Other Providers at the Same Location NPPES 9

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

THE CASCADE PACE, INC.

Program of All-Inclusive Care for the Elderly (PACE) Provider Organization

2282 SPRINGPORT RD
JACKSON, MI 49202

Jackson County (517) 768-9791

MS. BONNIE LEE DICKINSON LLMSW

Social Worker

2282 SPRINGPORT RD
JACKSON, MI 49202

Jackson County (517) 787-7437

BRIEANNE M HENSLEY ATC

Specialist/Technologist (Athletic Trainer)

2282 SPRINGPORT RD, SUITE F
JACKSON, MI 49202

Jackson County (517) 841-7497

MS. APRIL KRAL OT

Occupational Therapist

2282 SPRINGPORT RD
JACKSON, MI 49202

Jackson County (517) 768-9791

DAWN BUCHBINDER LMSW

Social Worker (Clinical)

2282 SPRINGPORT RD
JACKSON, MI 49202

Jackson County (517) 768-9791

JESSIE PAGE HART

Nurse Practitioner (Gerontology)

2282 SPRINGPORT RD
JACKSON, MI 49202

Jackson County (517) 768-9791

CYNTHIA LOUISE MERCIER PT

Physical Therapist

2282 SPRINGPORT RD
JACKSON, MI 49202

Jackson County (517) 768-9791

LORI A BURNS PTA

Physical Therapy Assistant

2282 SPRINGPORT RD
JACKSON, MI 49202

Jackson County (517) 768-9791

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 Vandergiessen's NPI number?

The NPI number for Kelly Vandergiessen is 1811645617. It was assigned to this individual provider in the NPPES registry on March 11, 2022.

Where is Kelly Vandergiessen located?

Kelly Vandergiessen practices at 2282 Springport Rd, Jackson, MI 49202. The listed phone number is (517) 768-9791.

What is Kelly Vandergiessen'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 Vandergiessen was last updated on March 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.