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Kansas Courtney Staffy

Speech-Language Pathologist β€’ Mesa, AZ

Active NPI 1639741010 Individual Practitioner Female Practitioner
Practice location in NPPES

108 W University Dr
Mesa, AZ 852015818

Call 4806681917 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

108 W University Dr

Mesa, AZ 852015818

Telephone 4806681917
Organization at the Same NPPES Address or Phone
Therapy One, Pllc Facility NPI 1316163884

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Goodyear, AZ. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2021

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Mesa and Arizona

424 active clinicians are listed under Speech-Language Pathologist with a practice address in Mesa, AZ (4,510 in Arizona).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Mesa

0% of these 424 clinicians have the CMS telehealth indicator.

0.9% of these 424 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-05-14
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES AZ SLP17021

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

License # reported to NPPES CO SLP.0005847

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Arizona Medical Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
227983 (AZ)

Secondary Practice Locations

16749 W Washington St

Goodyear, AZ 853384530

Phone: 9706612327

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

15 Historical Events
πŸ“
Updated Practice Location May 14, 2026

Registered at 108 W UNIVERSITY DR, MESA, AZ 852015818 (Tel: 4806681917)

πŸ“
Updated Business Mailing Address May 14, 2026

Registered at 16749 W WASHINGTON ST, GOODYEAR, AZ 853384530 (Tel: 2108489584)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 14, 2026

Speech-Language Pathologist (license number reported to NPPES: AZ SLP17021)

πŸ“
Updated Practice Location June 28, 2024

Registered at 618 ROOD AVE, GRAND JUNCTION, CO 815012742 (Tel: 9706654744)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 28, 2024

Speech-Language Pathologist (license number reported to NPPES: NV SP-3055)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 30, 2024

Speech-Language Pathologist (license number reported to NPPES: CO SLP.0005847)

πŸ“
Updated Practice Location April 05, 2024

Registered at 8670 W CHEYENNE AVE STE 110, LAS VEGAS, NV 891297457 (Tel: 7252021497)

πŸ“
Updated Business Mailing Address April 05, 2024

Registered at 10605 BLUE LARKSPUR CT, LAS VEGAS, NV 891418546 (Tel: 2108489584)

πŸ‘€
Provider Name / Credentials Updated April 05, 2024

Recorded as KANSAS STAFFY

βœ…
NPI Profile Active July 14, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 14, 2021

Registered at 1775 VILLAGE CENTER CIR STE 190, LAS VEGAS, NV 891340571 (Tel: 7024635460)

πŸ“
Business Mailing Address (Initial Record) July 14, 2021

Registered at 1919 REDWAY LN, HOUSTON, TX 770626015 (Tel: 2108489584)

πŸ‘€
Provider Name / Credentials (Initial Record) July 14, 2021

Recorded as KANSAS MERRITT

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 14, 2021

Speech-Language Pathologist (license number reported to NPPES: NV SP-3055)

🟒
Initial NPI Registration & Enumeration July 14, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1639741010
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 14, 2021
Last Update: May 14, 2026
Sole Proprietor: No

Other Speech-Language Pathologists in Mesa

Healthcare providers in Mesa

Mailing Address

16749 W Washington St

Goodyear, AZ 853384530

Phone: 2108489584

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.