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TARYN STEVENSON
NPI 1063010759
Speech-Language Pathologist in Minneapolis, MN

Active since October 14, 2020
3333 UNIVERSITY AVE SE, MINNEAPOLIS, MN 55414(612) 400-6165 Get Directions Write a Review

NPPES record last updated: October 14, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Taryn Stevenson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TARYN STEVENSON (NPI 1063010759) is an individual speech-language pathologist provider in Minneapolis, Minnesota and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1063010759
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameTARYN STEVENSON
Location Address3333 UNIVERSITY AVE SEMinneapolis, MN 55414-3325
Mailing Address589 Cleveland Ave S Apt 7Saint Paul, MN 55116-1282 · (612) 961-8561
Phone(612) 400-6165
Sole ProprietorNo
Enumeration DateOctober 14, 2020
NPPES CertifiedOctober 14, 2020
✔ NPI 1063010759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Definition
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.
3333 UNIVERSITY AVE SE, Minneapolis, MN 55414
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Taryn Stevenson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Taryn Stevenson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Therapy Spot, LLC
3.3 mi
Speech-Language Pathologist
1216 SELBY AVE
Saint Paul, MN 55104
  • Reassigned Medicare billing, Minnesota enrollment
  • 5 clinicians in this Medicare group
NPI 1619446382 (651) 698-1729

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LYDIA SHULL
Behavior Technician
3333 UNIVERSITY AVE SE
MINNEAPOLIS, MN 55414
Hennepin County (612) 331-9413
MYSTIC MAKEPEACE
Behavior Technician
3333 UNIVERSITY AVE SE
MINNEAPOLIS, MN 55414
Hennepin County (612) 767-7222
FATIMA MUHUDIN ALI
Behavior Technician
3333 UNIVERSITY AVE SE
MINNEAPOLIS, MN 55414
Hennepin County (612) 475-9231
MICAH ALICIA HERNDON
Behavior Technician
3333 UNIVERSITY AVE SE
MINNEAPOLIS, MN 55414
Hennepin County (201) 589-3367
CHLOE MARGO SARGENT
Behavior Technician
3333 UNIVERSITY AVE SE
MINNEAPOLIS, MN 55414
Hennepin County (612) 331-9413
MATTHEW LAUREN POWELL
Behavior Technician
3333 UNIVERSITY AVE SE
MINNEAPOLIS, MN 55414
Hennepin County (612) 331-9413
JAMONDA KELLY
Behavior Technician
3333 UNIVERSITY AVE SE
MINNEAPOLIS, MN 55414
Hennepin County (612) 331-9413
ASHLEY LYNN WITT LPCC
Counselor (Professional)
3333 UNIVERSITY AVE SE
MINNEAPOLIS, MN 55414
Hennepin County (612) 331-9413

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Taryn Stevenson's NPI number?

The NPI number for Taryn Stevenson is 1063010759. It was assigned to this individual provider in the NPPES registry on October 14, 2020.

Where is Taryn Stevenson located?

Taryn Stevenson practices at 3333 University Ave SE, Minneapolis, MN 55414. The listed phone number is (612) 400-6165.

What is Taryn Stevenson's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Taryn Stevenson enrolled in Medicare?

Yes. Taryn Stevenson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Taryn Stevenson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Taryn Stevenson reassigns Medicare benefits to The Therapy Spot, LLC (Saint Paul, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Taryn Stevenson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Taryn Stevenson was last updated on October 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.