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KATELYN MARIE SPENCER CCC-SLP
NPI 1073174561
Speech-Language Pathologist in Haslet, TX

Active since June 25, 2019
14625 SAN MADRID TRL, HASLET, TX 76052(469) 865-8057 Get Directions Write a Review

NPPES record last updated: July 12, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Katelyn Marie Spencer Ccc-slp NPPES

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

KATELYN MARIE SPENCER CCC-SLP (NPI 1073174561) is an individual speech-language pathologist provider in Haslet, Texas and active in the NPI registry since June 2019. She is a graduate of Other (2018).

NPPES Registry Identity

NPI1073174561
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameKATELYN MARIE SPENCERCredential: CCC-SLP
Location Address14625 SAN MADRID TRLHaslet, TX 76052-1199
Mailing Address14625 San Madrid TrlHaslet, TX 76052-1199
Phone(469) 865-8057
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateJune 25, 2019
Last NPPES UpdateJuly 12, 2021
NPPES CertifiedJuly 12, 2021
✔ NPI 1073174561 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.
14625 SAN MADRID TRL, Haslet, TX 76052
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katelyn Marie Spencer Ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1759731508
PECOS Enrollment IDI20231220002055, I20250828003356

Medicare Billing Reassignment

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

Marvel Orofacial Myofunctional Therapy
8.5 mi
Speech-Language Pathologist
349 KELLER PKWY
Keller, TX 76248
  • Reassigned Medicare billing, Texas and Virginia enrollments
  • 8 clinicians in this Medicare group
NPI 1336913532 (469) 900-5448

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

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 Katelyn Spencer's NPI number?

The NPI number for Katelyn Spencer is 1073174561. It was assigned to this individual provider in the NPPES registry on June 25, 2019.

Where is Katelyn Spencer located?

Katelyn Spencer practices at 14625 San Madrid Trl, Haslet, TX 76052. The listed phone number is (469) 865-8057.

What is Katelyn Spencer's specialty?

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

Is Katelyn Spencer enrolled in Medicare?

Yes. Katelyn Spencer is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Katelyn Spencer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katelyn Spencer reassigns Medicare benefits to Marvel Orofacial Myofunctional Therapy (Keller, TX). 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 Katelyn Spencer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Katelyn Spencer accept?

Health plans from Blue Cross and Blue Shield of Texas and Oscar Insurance Company list Katelyn Spencer as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Katelyn Spencer was last updated on July 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.