SERENA MICKELSON M.S., CCC-SLP
NPI 1629420104
Speech-Language Pathologist in Austin, TX

Active since July 07, 2016
4506 S 2ND ST, AUSTIN, TX 78745(512) 312-8938 Get Directions Write a Review

NPPES record last updated: July 7, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Serena Mickelson M.s., Ccc-slp NPPES

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

SERENA MICKELSON M.S., CCC-SLP (NPI 1629420104) is an individual speech-language pathologist provider in Austin, Texas, licensed in Texas (110754) and active in the NPI registry since July 2016.

NPPES Registry Identity

NPI1629420104
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameSERENA MICKELSONCredential: M.S., CCC-SLP
Location Address4506 S 2ND STAustin, TX 78745-1960
Mailing Address4506 S 2nd StAustin, TX 78745-1960 · (512) 312-8938
Sole ProprietorYes
Enumeration DateJuly 7, 2016
NPI 1629420104 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 TX · 110754
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.
4506 S 2ND ST, Austin, TX 78745

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 Serena Mickelson's NPI number?

The NPI number for Serena Mickelson is 1629420104. It was assigned to this individual provider in the NPPES registry on July 7, 2016.

Where is Serena Mickelson located?

Serena Mickelson practices at 4506 S 2nd St, Austin, TX 78745. The listed phone number is (512) 312-8938.

What is Serena Mickelson's specialty?

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

When was this NPI record last updated?

The NPPES record for Serena Mickelson was last updated on July 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.