Active NPI
Anne Kenison, CCC-SLP
- Speech-Language Pathologist
- Mesa, AZ
National Provider Identifier
1598029340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP7807
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 713555 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| SLP7807 | AZ | MD | Speech-Language Pathologist |
| TSLP7807 | AZ | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mentis Reo, LLC. | Current | Accepting new patients | |
| Advanced Therapy Solutions, LLC | Current | 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 | Past | Accepting new patients |
| Pioneer Pet, LLC | Past | Accepting new patients | |
| Rise Pediatric Therapies Queen Creek | Speech-Language Pathologist | Past | 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.
-
- Hearing and Speech Clinic/Center
- Mesa, AZ
- NPI 1972659399
-
- Diagnostic Radiology Physician
- Tempe, AZ
- NPI 1265401996
-
- Early Intervention Provider Agency
- Mesa, AZ
- NPI 1669818035
Speech-Language Pathologist
-
- Behavior Analyst
- Mesa, AZ
- NPI 1144095860
Speech-Language Pathologist
-
- Physical Therapist
- Tempe, AZ
- NPI 1669533105
Speech-Language Pathologist
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.