Kaleidoscope Speech and Language Center, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

110382 Issued in TX

Legal business name

KALEIDOSCOPE SPEECH AND LANGUAGE CENTER, LLC

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

Organization subpart

No

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

Authorized official

Name

McKenna Leeann Powell, M.S., CCC-SLPNPI 1659812055

Title

Speech Language Pathologist

Phone

(210) 833-3135

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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

  • Speech-Language Pathologist
  • Bulverde, TX
  • NPI 1659812055
  NPD (past) Authorized official

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

{
    "created_epoch": "1489708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489708800000",
    "number": "1700327111",
    "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": {
        "organization_name": "KALEIDOSCOPE SPEECH AND LANGUAGE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-17",
        "last_updated": "2017-03-17",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "MCKENNA",
        "authorized_official_middle_name": "LEEANN",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "210-833-3135",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "110382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irvin P. Brock III, M.D., P.a.
• Ivgc Home Health Services LLC
• Jeffrey M Locke, LCSW, PLLC
• John C. Sykes, D.D.S., P.a. (Bulverde Hills Dental)
• Marcos Salvador Johnson, CSFA, LSA
• Keith L. Markey MD PA (Advanced Sports Medicine & Orthopaedics)
• Kelly Kim
• Dawn Lynn King-Dushane, MSN, FNP-C
• Bruce G. Kinzy, M.D.
• Joseph William Kopacsi, LCSW

• 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.