Individual provider Active NPI

Kenedi Genesy, MS, CCC-SLP

  • Speech-Language Pathologist
  • Fort Worth, TX
National Provider Identifier
1437751708
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
3840 Hulen St Ste 100
Fort Worth, TX 76107-7269
Phone
(817) 569-4300
NPI assigned
Nov 12, 2020
Last updated
Jun 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X NU Primary

Addresses

Primary practice location

3840 Hulen St Ste 100
Fort Worth, TX 76107-7269

Mailing address

202 Hyde Park Blvd
Suite 300 #1008
Cleburne, TX 76033-4562
Phone (602) 456-7199

Other practice location 1

103 Westmeadow Dr Ste B
Cleburne, TX 76033-9602
Phone (817) 767-3130

Other practice location 2

12725 W Indian School Rd Ste E-101Q1
Avondale, AZ 85392-9520
Phone (602) 456-7199

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251125003197 TX Practitioner - Qualified Speech Language Pathologist 1052803186 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

202 Hyde Park Blvd
Suite 300
Cleburne, TX 76033-4562

7701 Stubblefield LN
Joshua, TX 76058-4691

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Speaking of Speech and Language Therapy LLC Speech-Language Pathologist CurrentSince Nov 13, 2025 Accepting new patients

Locations

103 Westmeadow Dr
Ste B
Cleburne, TX 76033
Phone (817) 441-1212

202 Hyde Park Blvd
Ste 300
Cleburne, TX 76033
Phone (682) 233-2240

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1605139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1437751708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 HYDE PARK BLVD",
            "address_2": "SUITE 300 #1008",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760334562",
            "telephone_number": "602-456-7199",
            "fax_number": "602-742-2739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3840 HULEN ST STE 100",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761077269",
            "telephone_number": "817-569-4300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "103 Westmeadow Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Cleburne",
            "state": "TX",
            "postal_code": "760339602",
            "country_code": "US",
            "telephone_number": "817-767-3130",
            "fax_number": "682-235-1101",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12725 W Indian School Rd Ste E-101Q1",
            "address_purpose": "LOCATION",
            "city": "Avondale",
            "state": "AZ",
            "postal_code": "853929520",
            "country_code": "US",
            "telephone_number": "602-456-7199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GENESY",
        "first_name": "KENEDI",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-12",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.