Individual provider Active NPI

Kacey Smith, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Magnolia, TX
National Provider Identifier
1477934479
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
110768 Issued in TX
Practice address
33300 Egypt LN Ste B900
Magnolia, TX 77354-2883
Phone
(979) 277-5704
NPI assigned
Jun 15, 2015
Last updated
Sep 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 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 110768 TX Primary

Addresses

Primary practice location

33300 Egypt LN Ste B900
Magnolia, TX 77354-2883

Mailing address

31 N Morning Cloud Cir
The Woodlands, TX 77381-6165
Phone (979) 277-5704

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
110768TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Treehouse Speech Therapy Speech-Language Pathologist CurrentSince Nov 8, 2025 Accepting new patients

Locations

33300 Egypt Ln
Ste B900
Magnolia, TX 77354
Phone (832) 207-6064

19221 Interstate 45 S
Ste 110
Shenandoah, TX 77385
Phone (281) 419-6638

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": "1434326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1477934479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 N MORNING CLOUD CIR",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773816165",
            "telephone_number": "979-277-5704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33300 EGYPT LN STE B900",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773542883",
            "telephone_number": "979-277-5704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KACEY",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-15",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "110768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Magnolia, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.