Individual provider Active NPI

Kimberly Asencio, CCC

  • Speech-Language Pathologist
  • Montgomery, NY
National Provider Identifier
1538098090
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
036691 Issued in NY
Practice address
228 Ward St
Montgomery, NY 12549-1270
Phone
(845) 293-5600
NPI assigned
May 19, 2026
Last updated
Jun 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 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 036691 NY Primary

Addresses

Primary practice location

228 Ward St
Montgomery, NY 12549-1270

Mailing address

11 Deerwood Dr
Hopewell Junction, NY 12533-6436

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

NPI Registry JSON

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

{
    "created_epoch": "1779148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780617600000",
    "number": "1538098090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 DEERWOOD DR",
            "city": "HOPEWELL JUNCTION",
            "state": "NY",
            "postal_code": "125336436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 WARD ST",
            "city": "MONTGOMERY",
            "state": "NY",
            "postal_code": "125491270",
            "telephone_number": "845-293-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASENCIO",
        "first_name": "KIMBERLY",
        "credential": "CCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-05-19",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "036691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.