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Kennetha S Thompson , CLINSCD, CCC-SLP

Speech-Language Pathologist β€’ Troy, MI

Active NPI 1689788382 Individual Practitioner Female Practitioner
Practice location in NPPES

1813 Shepherds Dr
Troy, MI 480845405

Call 3133337476 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1813 Shepherds Dr

Troy, MI 480845405

Telephone 3133337476

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Troy and Michigan

88 active clinicians are listed under Speech-Language Pathologist with a practice address in Troy, MI (3,736 in Michigan).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Troy

0% of these 88 clinicians have the CMS telehealth indicator.

3.4% of these 88 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-06-15
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Michigan Department of Licensing and Regulatory Affairs.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Business Mailing Address June 15, 2021

Registered at 22443 TWYCKINGHAM WAY, SOUTHFIELD, MI 480342135 (Tel: 3133337476)

πŸ‘€
Provider Name / Credentials Updated June 15, 2021

Recorded as KENNETHA THOMPSON, CLINSCD, CCC-SLP

βœ…
NPI Profile Active March 26, 2014

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 26, 2014

Registered at 1813 SHEPHERDS DR, TROY, MI 480845405 (Tel: 3133337476)

πŸ“
Business Mailing Address (Initial Record) March 26, 2014

Registered at 1813 SHEPHERDS DR, TROY, MI 480845405 (Tel: 3133337476)

πŸ‘€
Provider Name / Credentials (Initial Record) March 26, 2014

Recorded as KENNETHA MENTOR, MS, CCC-SLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 26, 2014

Speech-Language Pathologist

🟒
Initial NPI Registration & Enumeration August 18, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1689788382
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 18, 2006
Last Update: June 15, 2021
Sole Proprietor: No

Mailing Address

22443 Twyckingham Way

Southfield, MI 480342135

Phone: 3133337476

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.