Individual provider Active NPI

Kenisha Rotibi

  • Case Management Agency
  • Grand Prairie, TX
National Provider Identifier
1679029136
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Practice address
5963 Ridgeway Dr
Grand Prairie, TX 75052-0444
Phone
(972) 890-6101
NPI assigned
Aug 25, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 55603 TX
Case Management Agency 251B00000X Primary
Case Manager/Care Coordinator 171M00000X

Addresses

Primary practice location

5963 Ridgeway Dr
Grand Prairie, TX 75052-0444

Mailing address

5963 Ridgeway Dr
Grand Prairie, TX 75052-0444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161011001306 TX Practitioner - Clinical Social Worker 1254629033 Reassigns benefits to 4 organizations
Practice locations: Grand Prairie, TX

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
A Chosen Path Counseling and Consulting Services PLLC Case Management CurrentSince Apr 15, 2025 Accepting new patients
Victoria Behavioral Services Clinic LLC Community/Behavioral Health CurrentSince Oct 22, 2023 Accepting new patients
Affectionate Health Services Inc Community/Behavioral Health CurrentSince Jun 8, 2025 Accepting new patients
Vcounselors PLLC CurrentSince May 1, 2023 Accepting new patients
TP-Health Incorporated CurrentSince Dec 1, 2022 Accepting new patients
Kenisha Rotibi Clinical PastSince May 7, 2023 Accepting new patients
A Chosen Path Therapuetic Solutions PastSince Jan 29, 2023 Accepting new patients

Locations

4683 Betts Dr
Ste 403
Grand Prairie, TX 75052
Phone (214) 842-5561

16205 Westheimer Rd
Ste 100
Houston, TX 77082
Phone (281) 293-9200

4810 Riverstone Blvd
Ste 100
Missouri City, TX 77459
Phone (832) 916-2677

5522 Lone Star Pkwy
Ste 303
San Antonio, TX 78253
Phone (210) 614-4990

Organizations & group practices 8

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": "1472083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1679029136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5963 RIDGEWAY DR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750520444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5963 RIDGEWAY DR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750520444",
            "telephone_number": "972-890-6101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTIBI",
        "first_name": "KENISHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-25",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "55603",
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Prairie, TX

Sources for this page

Verify at the official NPI Registry.