Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kelly Ciezczak

Individual provider Speech-Language Pathologist · NPI 1326593732

Kelly Ciezczak is a Qualified Speech Language Pathologist in Crown Point, Indiana. Qualified in 2014, 12 years ago. Practices with Healthpro Heritage Rehab and Fitness LLC, a 990-clinician group and accepts Medicare assignment. Licensed in Indiana, Massachusetts and North Carolina.

Years since qualifying
12
Licensed in
IN, MA, NC
In the registry since
2016
Specialties on file
3
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

966 Cherokee Ct
Crown Point, IN 46307-4613
Phone: (219) 671-0623
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SP-9837-SL (MA)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 22006267A (IN)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 11718 (NC)

Record details

NPI number1326593732
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 16, 2016
Last updated in NPPESMarch 24, 2025
Certification dateMarch 24, 2025

Medicare enrollment

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

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Healthpro Heritage Rehab And Fitness Llc — 990 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Crown Point