Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Chelsea Russo, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1760265672

Chelsea Russo, CCC-SLP is a Qualified Speech Language Pathologist in Kinnelon, New Jersey. Qualified in 2022, 4 years ago. Practices with Healthpro Heritage Rehab and Fitness LLC, a 990-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
4
Licensed in
NJ
In the registry since
2023
What do these letters mean?
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

187 Kakeout Rd
Kinnelon, NJ 07405-2538
Phone: (973) 270-4487
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 41YS01178200 (NJ)

Record details

NPI number1760265672
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorNo
NPI enumeratedAugust 15, 2023
Last updated in NPPESAugust 15, 2023
Certification dateAugust 15, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Healthpro Heritage Rehab And Fitness Llc — 990 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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