KMGP HOLDINGS LLC
NPI 1952069841
Speech-Language Pathologist in Saint Peters, MO

Active since December 07, 2021
1400 TRIAD CENTER DR STE A, SAINT PETERS, MO 63376(314) 254-2188(833) 638-0807 Get Directions Write a Review

NPPES record last updated: February 17, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 17, 2025, Oct 5, 2023, Feb 11, 2022 and 2 more (5 updates tracked since 2021).

About Kmgp Holdings Llc NPPES

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

KMGP HOLDINGS LLC (NPI 1952069841), doing business as Feeding Friends Therapy Services, is a healthcare organization registered as a speech-language pathologist in Saint Peters, Missouri and active in the NPI registry since December 2021. The organization maintains a secondary practice location in Saint Louis and lists Attea Costanzo, Owner Speech Therapist, as its authorized official.

NPPES Registry Identity

NPI1952069841
Entity TypeOrganization
Primary Taxonomy235Z00000X
Legal Business NameKMGP HOLDINGS LLC
Location Address1400 TRIAD CENTER DR STE ASaint Peters, MO 63376-7351
Mailing Address901 Tenlynn CtSaint Louis, MO 63124-1250 · (915) 603-7070
Fax(833) 638-0807
Organization SubpartNo
Authorized OfficialAttea CostanzoOwner Speech Therapist · (915) 603-7070
Enumeration DateDecember 7, 2021
Last NPPES UpdateFebruary 17, 20255 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2025
✔ NPI 1952069841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
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.
Also ListedPhysical TherapistTaxonomy 225100000X
Also ListedOccupational TherapistTaxonomy 225X00000X
1400 TRIAD CENTER DR STE A, Saint Peters, MO 63376

Other Names 1

Doing Business AsFeeding Friends Therapy Services

Secondary Practice Location 1

Location 1901 Tenlynn CtSaint Louis, MO 63124-1250 · Phone (915) 603-7070

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kmgp Holdings Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMissouriEnrollment IDO20220328000180Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Kmgp Holdings LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Qualified Speech Language Pathologist
NPI 1861846305
5132 PRINCE EDWARD
El Paso, TX 79924
(915) 603-7070
✔ Accepts Medicare1,009 mi

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

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 Kmgp Holdings LLC's NPI number?

The NPI number for Kmgp Holdings LLC is 1952069841. It was assigned to this organization in the NPPES registry on December 7, 2021. The provider is doing business as Feeding Friends Therapy Services.

Where is Kmgp Holdings LLC located?

Kmgp Holdings LLC is located at 1400 Triad Center Dr Ste A, Saint Peters, MO 63376. The listed phone number is (314) 254-2188.

What is Kmgp Holdings LLC's specialty?

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

Is Kmgp Holdings LLC enrolled in Medicare?

Yes. Kmgp Holdings LLC is registered in the Medicare PECOS enrollment system.

When is Kmgp Holdings LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Missouri, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Kmgp Holdings LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Qualified Speech Language Pathologist) reassigns their Medicare billing to Kmgp Holdings LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Kmgp Holdings LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Kmgp Holdings LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kmgp Holdings LLC was last updated on February 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.