McKenna Leeann Powell, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

110382 Issued in TX

Practice address

4503 Evening Star Dr
Bulverde, TX 78163-2709

Phone

(210) 833-3135

NPI assigned

Mar 17, 2017

Last updated

Mar 17, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Kaleidoscope Speech and Language Center, LLC

  • Speech-Language Pathologist
  • Bulverde, TX
  • NPI 1700327111
  NPD (past) Authorized official

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

{
    "created_epoch": "1489708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489708800000",
    "number": "1659812055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4503 EVENING STAR DR",
            "city": "BULVERDE",
            "state": "TX",
            "postal_code": "781632709",
            "telephone_number": "210-833-3135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4503 EVENING STAR DR",
            "city": "BULVERDE",
            "state": "TX",
            "postal_code": "781632709",
            "telephone_number": "210-833-3135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "MCKENNA",
        "middle_name": "LEEANN",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-17",
        "last_updated": "2017-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "110382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Artrevisa Payton, LCSW
• Kristi Ellen Perkins, M.D.
• Amber Vigue Peterson, MPAS PAC
• Guy E Peterson, DDS
• Debra Colleen Phelps, LMT
• Kellie Pryor, LCMHC
• R Scott Harris (Hillside Chiropractic and Wellness)
• Heather Knox Redding, MA, LPC-ASSOCIATE
• Rocky Russell Reston, M.D., PH.D.
• Ridge Partners,LLC (Bulverde MRI and Diagnostics)

• Speech-Language Pathologist in Bulverde, TX
• Providers in Bulverde, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2017; 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.