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STACEY SHEPARD MA, CCC-SLP
NPI 1609469824
Speech-Language Pathologist in Colorado Springs, CO

Active since February 18, 2021
6985 TUTT BLVD STE 100, COLORADO SPRINGS, CO 80923(719) 332-4689 Get Directions Write a Review

NPPES record last updated: February 18, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Stacey Shepard Ma, Ccc-slp NPPES

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

STACEY SHEPARD MA, CCC-SLP (NPI 1609469824) is an individual speech-language pathologist provider in Colorado Springs, Colorado, licensed in Colorado (0004016) and active in the NPI registry since February 2021.

NPPES Registry Identity

NPI1609469824
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameSTACEY SHEPARDCredential: MA, CCC-SLP
Location Address6985 TUTT BLVD STE 100Colorado Springs, CO 80923-3588
Mailing Address6985 Tutt Blvd Ste 100Colorado Springs, CO 80923-3588
Phone(719) 332-4689
Sole ProprietorNo
Enumeration DateFebruary 18, 2021
NPPES CertifiedFebruary 17, 2021
✔ NPI 1609469824 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 CO · 0004016
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.
6985 TUTT BLVD STE 100, Colorado Springs, CO 80923
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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)

Stacey Shepard Ma, Ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Jp Therapy, LLC
1,560 mi
Physical Rehabilitation
5604 VIRGINIA BEACH BLVD STE 101
Virginia Beach, VA 23462
  • Reassigned Medicare billing, Virginia enrollment
  • 79 clinicians in this Medicare group
NPI 1851770598 (757) 455-5000

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 18

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

MRS. MELISSA BRAUN LSW
Social Worker (Clinical)
6985 TUTT BLVD STE 100
COLORADO SPRINGS, CO 80923
El Paso County (719) 624-0594
KELSEY LEE
Speech-Language Pathologist
6985 TUTT BLVD STE 100
COLORADO SPRINGS, CO 80923
El Paso County (719) 332-4689
SYDNEY ORTEGO MS, CCC-SLP
Speech-Language Pathologist
6985 TUTT BLVD STE 100
COLORADO SPRINGS, CO 80923
El Paso County (719) 332-4689
ESPERANZA BOSWELL M.S. CCC-SLP
Speech-Language Pathologist
6985 TUTT BLVD STE 100
COLORADO SPRINGS, CO 80923
El Paso County (719) 332-4689
JOSEPH W CATHEY MA, LPC, LAC
Counselor (Professional)
6985 TUTT BLVD STE 100
COLORADO SPRINGS, CO 80923
El Paso County (719) 624-0594
MISTY DAWN SANCHEZ LSW
Counselor (Mental Health)
6985 TUTT BLVD STE 100
COLORADO SPRINGS, CO 80923
El Paso County (719) 624-0594
MS. CASEY ANN DEFIELD
Counselor (Mental Health)
6985 TUTT BLVD STE 100
COLORADO SPRINGS, CO 80923
El Paso County (719) 624-0594
ROCKSOLID CARE INC.
Social Worker (Clinical)
6985 TUTT BLVD STE 100
COLORADO SPRINGS, CO 80923
El Paso County (303) 653-1336

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 Stacey Shepard's NPI number?

The NPI number for Stacey Shepard is 1609469824. It was assigned to this individual provider in the NPPES registry on February 18, 2021.

Where is Stacey Shepard located?

Stacey Shepard practices at 6985 Tutt Blvd Ste 100, Colorado Springs, CO 80923. The listed phone number is (719) 332-4689.

What is Stacey Shepard's specialty?

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

Is Stacey Shepard enrolled in Medicare?

Yes. Stacey Shepard is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Stacey Shepard's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacey Shepard reassigns Medicare benefits to Jp Therapy, LLC (Virginia Beach, VA). 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 Stacey Shepard'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 Stacey Shepard was last updated on February 18, 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.