Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1902764780 Individual Practitioner Female Practitioner

Stacy Ann Smith , SLP

Speech-Language Pathologist • Circle Pines, MN

Professional Overview & Biography Verified Profile Summary

Stacy Smith, SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Circle Pines, MN. Practice services are available at 575 BIRCH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

575 Birch St

Circle Pines, MN 550141369

Telephone 7637926000
Fax 7633927743
Associated Practice Facility / Clinic
🏢 Centennial School District Facility NPI 1588727143

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Circle Pines, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
13 Specialists

Practicing in Circle Pines, MN (3097 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-01-12
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License None 12046991

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

37 Associated Practitioners
Garrett Hanson

Registered Nurse

NPI 1073451894
Emma Gannon

Psychologist - School

NPI 1083569016
Kelsi Gruber Kellerhuis

Registered Nurse

NPI 1083569099
Ari Natarina

Speech-Language Pathologist

NPI 1114872843
Greta Lund

Psychologist - School

NPI 1124973136
Rebecca Kramer

Registered Nurse

NPI 1134074941

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 12, 2026

NPI status registered as active in NPPES database

📍
Updated Practice Location January 12, 2026

Registered at 575 BIRCH ST, CIRCLE PINES, MN 550141369 (Tel: 7637926000)

📍
Updated Business Mailing Address January 12, 2026

Registered at 575 BIRCH ST, CIRCLE PINES, MN 550141369 (Tel: 7637926000)

👤
Provider Name / Credentials Updated January 12, 2026

Recorded as STACY SMITH, SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 12, 2026

Speech-Language Pathologist (License #12046991 in None)

🟢
Initial NPI Registration & Enumeration January 12, 2026

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1902764780
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 12, 2026
Last Update: January 12, 2026
Sole Proprietor: Yes

Mailing Address

575 Birch St

Circle Pines, MN 550141369

Phone: 7637926000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.