CMS-1500 Box 24J / 33a • NPI
1720635915
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
235Z00000X (CMS 15)
Licensed & Credentialed Speech, Language and Hearing Service Providers
Box 32 Service Location & ZIP+4
512 PEACH ST, CROWLEY, TX, 76036-3119
✓ 9-Digit EDI 837 ZIP+4 (76036-3119)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1720635915 (MIKAYLA MARIE BELLARDINI, M.S., CCC-SLP) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1720635915 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | MIKAYLA MARIE BELLARDINI, M.S., CCC-SLP |
| Plain-English Specialty | Licensed & Credentialed Speech, Language and Hearing Service Providers NUCC Code: 235Z00000X (Speech-Language Pathologist, ) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 512 PEACH ST, CROWLEY, TX, 76036-3119 |
| Practice Telephone / Fax | Tel: (817) 297-5880 |
| Administrative Mailing Address | 2132 BARBELL LN, FORT WORTH, TX, 76111-5017 |
| Enumeration & Last Sync | Enumerated: 2019-08-22 | CMS Record Updated: 2022-09-12 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (235Z00000X)
What Does Taxonomy Code 235Z00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 235Z00000X translates to:
"Licensed & Credentialed Speech, Language and Hearing Service Providers"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (MIKAYLA MARIE BELLARDINI, M.S., CCC-SLP)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
235Z00000X — Speech-Language Pathologist, Plain English: Licensed & Credentialed Speech, Language and Hearing Service Providers | State: SC | License: 6654 | Primary: Secondary |
235Z00000X — Speech-Language Pathologist, Plain English: Licensed & Credentialed Speech, Language and Hearing Service Providers | State: TX | License: 117146 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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