Organization Active NPI

KJB Speech Therapy PLLC

  • Speech-Language Pathologist
  • Houston, TX
National Provider Identifier
1871158253
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
KJB SPEECH THERAPY PLLC
Practice address
2045 Space Park Dr Ste 140
Houston, TX 77058-6305
Phone
(832) 769-3122
Fax
(832) 769-3059
NPI assigned
May 1, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Authorized official

Name
Kisa Jeannette Bracey, CCC-SLPNPI 1568584647
Title
Owner/Lead Therapist
Phone
(832) 217-9410

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

2045 Space Park Dr Ste 140
Houston, TX 77058-6305

Mailing address

2336 Shallow Creek LN
Friendswood, TX 77546-1506
Phone (832) 769-3122

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190808003330 TX Part B Supplier - Clinic/Group Practice 8921335217 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

2045 Space Park Dr
Ste 140
Houston, TX 77058
Phone (832) 769-3122

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1556668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758758400000",
    "number": "1871158253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2336 SHALLOW CREEK LN",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775461506",
            "telephone_number": "832-769-3122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 SPACE PARK DR STE 140",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770586305",
            "telephone_number": "832-769-3122",
            "fax_number": "832-769-3059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KJB SPEECH THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-01",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A",
        "authorized_official_last_name": "BRACEY",
        "authorized_official_first_name": "KISA",
        "authorized_official_middle_name": "JEANNETTE",
        "authorized_official_title_or_position": "OWNER/LEAD THERAPIST",
        "authorized_official_telephone_number": "832-217-9410",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; 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.

Verify at the official NPI Registry.