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Stacey Keleen Harris , MS, CCC-SLP

Speech-Language Pathologist β€’ Corvallis, OR

Active NPI 1093337230 Individual Practitioner Female Practitioner
Practice location in NPPES

33461 Se Peoria Rd
Corvallis, OR 973332521

Call 5417044010 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

33461 Se Peoria Rd

Corvallis, OR 973332521

Telephone 5417044010
Other Listings in Public Data

NPPES lists 1 additional practice-address record in Corvallis, OR. 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

2020

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 Corvallis and Oregon

28 active clinicians are listed under Speech-Language Pathologist with a practice address in Corvallis, OR (2,091 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Corvallis

0% of these 28 clinicians have the CMS telehealth indicator.

0% of these 28 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: 2024-05-17
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES OR 17834

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 MT SLP-SP-LIC-9724

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 MT MT-SLP-SP-LIC-9724

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: Oregon Medical Board.
Look Up on State Board Site

Secondary Practice Locations

2963 Nw Fillmore Ave

Corvallis, OR 973305165

Phone: 4063048330

Career & Practice History Timeline

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

12 Historical Events
πŸ“
Updated Practice Location May 17, 2024

Registered at 33461 SE PEORIA RD, CORVALLIS, OR 973332521 (Tel: 5417044010)

πŸ“
Updated Business Mailing Address May 17, 2024

Registered at 2963 NW FILLMORE AVE, CORVALLIS, OR 973305165 (Tel: 4063048330)

πŸ‘€
Provider Name / Credentials Updated January 04, 2023

Recorded as STACEY HARRIS, M.S., CCC-SLP

πŸ“
Updated Practice Location October 10, 2022

Registered at 208 DIXON AVE, MISSOULA, MT 598018722 (Tel: 4063048330)

πŸ“
Updated Business Mailing Address October 10, 2022

Registered at 208 DIXON AVE, MISSOULA, MT 598018722 (Tel: 4063048330)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 10, 2022

Speech-Language Pathologist (license number reported to NPPES: MT SLP-SP-LIC-9724)

βœ…
NPI Profile Active May 11, 2020

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 11, 2020

Registered at 819 OAK ST, MISSOULA, MT 598013639 (Tel: 4063048330)

πŸ“
Business Mailing Address (Initial Record) May 11, 2020

Registered at 819 OAK ST, MISSOULA, MT 598013639 (Tel: 4063048330)

πŸ‘€
Provider Name / Credentials (Initial Record) May 11, 2020

Recorded as STACEY MCCLURE

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 11, 2020

Speech-Language Pathologist

🟒
Initial NPI Registration & Enumeration May 11, 2020

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1093337230
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 11, 2020
Last Update: May 17, 2024
Sole Proprietor: Yes

Other Speech-Language Pathologists in Corvallis

Healthcare providers in Corvallis

Mailing Address

2963 Nw Fillmore Ave

Corvallis, OR 973305165

Phone: 4063048330

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.