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Kenyetta Williams , M ED, CCC-SLP

Speech-Language Pathologist β€’ Pasadena, TX

Active NPI 1306566724 Individual Practitioner Female Practitioner
Practice location in NPPES

3920 Mickey Gilley Blvd
Pasadena, TX 775053005

Call 7137400000 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

3920 Mickey Gilley Blvd

Pasadena, TX 775053005

Telephone 7137400000

NPI first issued

2022

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 Pasadena and Texas

56 active clinicians are listed under Speech-Language Pathologist with a practice address in Pasadena, TX (17,078 in Texas).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Pasadena

0% of these 56 clinicians have the CMS telehealth indicator.

0% of these 56 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: 2025-09-12
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES TX 18771

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: Texas Medical Board.
Look Up on State Board Site

Career & Practice History Timeline

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

9 Historical Events
πŸ“
Updated Practice Location September 12, 2025

Registered at 3920 MICKEY GILLEY BLVD, PASADENA, TX 775053005 (Tel: 7137400000)

πŸ“
Updated Practice Location April 04, 2024

Registered at 15615 STONE GABLES LN, HOUSTON, TX 770445367 (Tel: 2819678200)

πŸ‘€
Provider Name / Credentials Updated April 04, 2024

Recorded as KENYETTA WILLIAMS, M. ED., CCC-SLP

βœ…
NPI Profile Active August 29, 2022

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 29, 2022

Registered at 10203 BIRCHRIDGE DR, HUMBLE, TX 773382200 (Tel: 2816414372)

πŸ“
Business Mailing Address (Initial Record) August 29, 2022

Registered at 15615 STONE GABLES LN, HOUSTON, TX 770445367

πŸ‘€
Provider Name / Credentials (Initial Record) August 29, 2022

Recorded as KENYETTA WILLIAMS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 29, 2022

Speech-Language Pathologist (license number reported to NPPES: TX 18771)

🟒
Initial NPI Registration & Enumeration August 29, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1306566724
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 29, 2022
Last Update: September 12, 2025
Sole Proprietor: No

Mailing Address

15615 Stone Gables Ln

Houston, TX 770445367

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.