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MRS. STACY DERENARD M.A., CCC-SLP
NPI 1427267608
Speech-Language Pathologist in Garden Grove, CA

Active since May 22, 2007
12060 VALLEY VIEW ST, SUITE 137, GARDEN GROVE, CA 92845(714) 901-1518(714) 901-1359 Get Directions Write a Review

NPPES record last updated: March 1, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mrs. Stacy Derenard M.a., Ccc-slp NPPES

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

MRS. STACY DERENARD M.A., CCC-SLP (NPI 1427267608) is an individual speech-language pathologist provider in Garden Grove, California, licensed in California (SP 14604) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1427267608
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMRS. STACY DERENARDCredential: M.A., CCC-SLP
Location Address12060 VALLEY VIEW ST, SUITE 137Garden Grove, CA 92845
Mailing Address5241 Berkeley Ave, Apt. BWestminster, CA 92683-2739 · (714) 901-1518 · Fax (714) 901-1359
Phone(714) 901-1518
Fax(714) 901-1359
Sole ProprietorNo
Enumeration DateMay 22, 2007
Last NPPES UpdateMarch 1, 2017
✔ NPI 1427267608 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
License✔ Licensed in CA · SP 14604
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.
12060 VALLEY VIEW ST, Garden Grove, CA 92845
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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)

Mrs. Stacy Derenard M.a., Ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Expressions Speech Language Pathology Services Inc
Same address
Speech-Language Pathologist
12062 VALLEY VIEW ST, SUITE 137
Garden Grove, CA 92845
  • Reassigned Medicare billing, California enrollment
NPI 1689893075 (714) 901-1518

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 Stacy Derenard's NPI number?

The NPI number for Stacy Derenard is 1427267608. It was assigned to this individual provider in the NPPES registry on May 22, 2007.

Where is Stacy Derenard located?

Stacy Derenard practices at 12060 Valley View St Suite 137, Garden Grove, CA 92845. The listed phone number is (714) 901-1518.

What is Stacy Derenard's specialty?

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

Is Stacy Derenard enrolled in Medicare?

Yes. Stacy Derenard is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Stacy Derenard's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacy Derenard reassigns Medicare benefits to Expressions Speech Language Pathology Services Inc (Garden Grove, CA). 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 Stacy Derenard'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 Stacy Derenard was last updated on March 1, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.