Individual provider Active NPI

Anne Kenison, CCC-SLP

  • Speech-Language Pathologist
  • Mesa, AZ
National Provider Identifier
1598029340
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP7807 Issued in AZ
Practice address
4554 E Inverness Ave
Mesa, AZ 85206-4639
Phone
(480) 295-4925
NPI assigned
Jun 26, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP7807 AZ Primary
Speech-Language Pathologist 235Z00000X TSLP7807 AZ

Addresses

Primary practice location

4554 E Inverness Ave
Mesa, AZ 85206-4639

Mailing address

1930 E Southern Ave
Tempe, AZ 85282-7518
Phone (480) 456-0719

Other identifiers 1

IdentifierTypeStateIssuer
713555MedicaidAZ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130827000607 AZ Practitioner - Qualified Speech Language Pathologist 1658514492 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SLP7807AZMDSpeech-Language Pathologist
TSLP7807AZMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mentis Reo, LLC. CurrentSince Jan 5, 2023 Accepting new patients
Advanced Therapy Solutions, LLC CurrentSince Jan 5, 2023 Accepting new patients
Rise Early Intervention Services LLC Speech-Language Pathologist Past Accepting new patients
Solace Pediatric Healthcare Therapy Services Az, Inc. Speech-Language Pathologist PastSince Jan 1, 1995 Accepting new patients
Pioneer Pet, LLC Past Accepting new patients
Rise Pediatric Therapies Queen Creek Speech-Language Pathologist PastSince Nov 26, 2023 Accepting new patients

Locations

1783 E Queen Creek Rd
Ste 1
Chandler, AZ 85286
Phone (480) 820-6366

690 E Warner Rd
Ste 105
Gilbert, AZ 85296
Phone (480) 820-6366

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1340668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1598029340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 E SOUTHERN AVE",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827518",
            "telephone_number": "480-456-0719",
            "fax_number": "480-456-0163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4554 E INVERNESS AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064639",
            "telephone_number": "480-295-4925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENISON",
        "first_name": "ANNE",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-26",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP7807",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "TSLP7807",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "713555",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.