Individual provider Active NPI

McKenzie Marie Koshi

  • Speech-Language Pathologist
  • Richardson, TX
National Provider Identifier
1609445584
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
124439 Issued in TX
Practice address
1601 N Collins Blvd
Richardson, TX 75080-3520
Phone
(972) 470-5855
NPI assigned
Jun 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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 124439 TX Primary

Addresses

Primary practice location

1601 N Collins Blvd
Richardson, TX 75080-3520

Mailing address

3030 McKinney Ave Apt 1902
Dallas, TX 75204-2451
Phone (810) 252-0680

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

State licenses

LicenseStateTypeSpecialty
124439TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mathis Therapy - a Therapy Connection, LLC Speech-Language Pathologist CurrentSince Nov 8, 2025 Accepting new patients

Locations

1601 N Collins Blvd
Richardson, TX 75080
Phone (972) 470-5855

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1624406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1609445584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 MCKINNEY AVE APT 1902",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752042451",
            "telephone_number": "810-252-0680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 N COLLINS BLVD",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750803520",
            "telephone_number": "972-470-5855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSHI",
        "first_name": "MCKENZIE",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-23",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "124439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; 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.