Crystal Lee Kieckhoefer O'Malley, M.S.E., CCC-SLP
NPI 1205068681ActiveIndividual· Speech-Language Pathologist· Andover, MN
Speech-Language Pathologist (M.S.E., CCC-SLP) in Andover, Minnesota, licensed in MN and WI, with an NPI issued in August 2009.
Overview
| NPI | 1205068681 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.S.E., CCC-SLP |
| Sole proprietor | Yes |
| NPI issued | Aug 18, 2009 |
| Last updated in NPPES | Jan 12, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | 8889 | MN |
| Speech-Language Pathologist | 235Z00000X | 3282-154 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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