1. Home
  2. Directory
  3. Minnesota
  4. Waseca
  5. Speech Language Pathologist
  6. NPI Profile

KENDA MARAE DOUGHERTY CCC -SLP
NPI 1760681746
Speech-Language Pathologist in Waseca, MN

Active since July 11, 2007
117 STATE ST N, WASECA, MN 56093(507) 237-6336 Get Directions Write a Review

NPPES record last updated: June 26, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kenda Marae Dougherty Ccc -slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENDA MARAE DOUGHERTY CCC -SLP (NPI 1760681746) is an individual speech-language pathologist provider in Waseca, Minnesota, licensed in Minnesota (8200) and active in the NPI registry since July 2007. She is a graduate of Other (2007).

NPPES Registry Identity

NPI1760681746
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameKENDA MARAE DOUGHERTYCredential: CCC -SLP
Location Address117 STATE ST NWaseca, MN 56093-2928
Mailing Address117 State St NWaseca, MN 56093-2928 · (507) 237-6336 · Fax (507) 218-9736
Phone(507) 237-6336
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJuly 11, 2007
Last NPPES UpdateJune 26, 2024
NPPES CertifiedJune 19, 2023
✔ NPI 1760681746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in MN · 8200
Definition
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.
117 STATE ST N, Waseca, MN 56093
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kenda Marae Dougherty Ccc -slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5890121305
PECOS Enrollment IDI20200131001795

Medicare Billing Reassignment

Medicare enrollment records show Kenda Dougherty reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Waseca Integrated Therapy Hub, LLC
Same address
Speech-Language Pathologist
117 STATE ST N
Waseca, MN 56093
  • Reassigned Medicare billing, Minnesota enrollment
  • 8 clinicians in this Medicare group
NPI 1851945919 (507) 237-6336

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WASECA FAMILY CHIROPRACTIC CLINIC INC.
Clinic/Center
117 STATE ST N
WASECA, MN 56093
Waseca County (507) 835-7660
SAVANNAH KATHRYN LENARZ
Speech-Language Pathologist
117 STATE ST N
WASECA, MN 56093
Waseca County (507) 237-6336
SARITA J HOOK MS, CF-SLP
Student in an Organized Health Care Education/Training Program
117 STATE ST N
WASECA, MN 56093
Waseca County (507) 237-6336
WASECA INTEGRATED THERAPY HUB, LLC
Speech-Language Pathologist
117 STATE ST N
WASECA, MN 56093
Waseca County (507) 237-6336
CHRISTINE DAUCK
Speech-Language Pathologist
117 STATE ST N
WASECA, MN 56093
Waseca County (507) 237-6336

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenda Dougherty's NPI number?

The NPI number for Kenda Dougherty is 1760681746. It was assigned to this individual provider in the NPPES registry on July 11, 2007.

Where is Kenda Dougherty located?

Kenda Dougherty practices at 117 State St N, Waseca, MN 56093. The listed phone number is (507) 237-6336.

What is Kenda Dougherty's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Kenda Dougherty enrolled in Medicare?

Yes. Kenda Dougherty is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kenda Dougherty's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenda Dougherty reassigns Medicare benefits to Waseca Integrated Therapy Hub, LLC (Waseca, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kenda Dougherty's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kenda Dougherty was last updated on June 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.