Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1720635915 Individual Practitioner Female Practitioner

Mikayla Marie Bellardini , MS, CCC-SLP

Speech-Language Pathologist • Crowley, TX

Professional Overview & Biography Verified Profile Summary

Mikayla Bellardini, MS, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Crowley, TX. Practice services are available at 512 PEACH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

512 Peach St

Crowley, TX 760363119

Telephone 8172975880

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Crowley, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
10 Specialists

Practicing in Crowley, TX (17210 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: 2022-01-04
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License TX 117146

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.

Speech-Language Pathologist

NUCC Taxonomy Code: 235Z00000X

State License SC 6654

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Texas Llr
117146 (TX)
Commercial Insurance / Payer ID Asha
14258638
Commercial Insurance / Payer ID Sc Llr
6654 (SC)

Secondary Practice Locations

60160 Venable Dr

Fort Hood, TX 765443610

Phone: 2543361980

Practice Associates & Co-Workers

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

3 Associated Practitioners
Jacqueline Beaulieu , CCC-SLP

Speech-Language Pathologist

NPI 1619647880

Speech-Language Pathologist (Certificate of Clinical Competence)

Michelle Ivey

Occupational Therapist

NPI 1750110821
Rebekah Brittain

Speech-Language Pathologist

NPI 1972272581

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location September 12, 2022

Registered at 512 PEACH ST, CROWLEY, TX 760363119 (Tel: 8172975880)

📍
Updated Business Mailing Address September 12, 2022

Registered at 2132 BARBELL LN, FORT WORTH, TX 761115017 (Tel: 7273485444)

NPI Profile Active August 22, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location August 22, 2019

Registered at 515 FRANCIS MARION RD, FLORENCE, SC 295064702 (Tel: 8436648481)

📍
Updated Business Mailing Address August 22, 2019

Registered at 2003 DUNARD CT, INDIAN TRAIL, NC 280795390 (Tel: 7273485444)

👤
Provider Name / Credentials Updated August 22, 2019

Recorded as MIKAYLA BELLARDINI, M.S., CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 22, 2019

Speech-Language Pathologist (License #6654 in SC)

🟢
Initial NPI Registration & Enumeration August 22, 2019

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: 1720635915
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 22, 2019
Last Update: September 12, 2022
Sole Proprietor: No

Mailing Address

2132 Barbell Ln

Fort Worth, TX 761115017

Phone: 7273485444

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.