STEPHANIE MITCHELL DESPAIN (MS, CCC-SLP) – Speech-Language Pathologist, NPI 1336551977

STEPHANIE MITCHELL DESPAIN (MS, CCC-SLP) is a healthcare provider. based in Jasper, Texas. specializing in Speech-Language Pathologist. They hold the professional credentials MS, CCC-SLP. They hold a License No. 109960 (TX). The NPI Number for STEPHANIE MITCHELL DESPAIN (MS, CCC-SLP) is 1336551977

Main info

Female
Name
STEPHANIE MITCHELL DESPAIN (MS, CCC-SLP)
NPI
1336551977
Phone
(409) 202-5002
Address
526 S WHEELER ST
Enumeration Date
2 June 2014
Last Update Date
21 April 2017
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

Provider Addresses for STEPHANIE MITCHELL DESPAIN (MS, CCC-SLP)

  • 526 S WHEELER ST

    JASPER, TX 759514540

    Phone: (409) 202-5002

    Fax: (844) 848-9342

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-06-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170617000191IQualified Speech Language PathologistTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75951)

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Reviews

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Frequently asked questions

What NPI should I save for STEPHANIE MITCHELL DESPAIN (MS, CCC-SLP)?
Save NPI 1336551977 if you need a stable reference for STEPHANIE MITCHELL DESPAIN (MS, CCC-SLP).
Does this profile mean STEPHANIE MITCHELL DESPAIN (MS, CCC-SLP) is currently active?
Yes — STEPHANIE MITCHELL DESPAIN (MS, CCC-SLP) appears active in the national provider directory.
Can you summarize STEPHANIE MITCHELL DESPAIN (MS, CCC-SLP)'s specialty in plain language?
Clinically, the directory lists STEPHANIE MITCHELL DESPAIN (MS, CCC-SLP) with Speech-Language Pathologist. Clinical services aligned with this taxonomy classification.
Does STEPHANIE MITCHELL DESPAIN (MS, CCC-SLP) practice in Texas?
You will see Jasper, Texas on file for STEPHANIE MITCHELL DESPAIN (MS, CCC-SLP) alongside any extra practice locations.
What if Jasper, Texas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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