Kara Marie Govreau
Individual provider Active NPI Speech-Language Pathologist · Godfrey, IL
NPI 1285400853 · NPPES record last updated Nov 27, 2023
Key facts
- NPI
- 1285400853
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 146011591 (IL)
- Practice address
- 813 Lars Hoffman Xing
Godfrey, IL 62035-4240 - Phone
- (618) 466-0600
- NPI assigned
- Nov 27, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Medicare Care Compare profile
- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Empowerme Rehabilitation Illinois LLC
Practice addresses (Care Compare)
7108 Marine Rd
Edwardsville, IL 62025-4282
Phone (618) 706-9759
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231214003232 | IL | Practitioner - Qualified Speech Language Pathologist | 8224487335 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146011591 | IL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empowerme Rehabilitation Illinois, LLC | Speech-Language Pathologist | Current |
Accepting new patients |
| Empowerme Wellness Kansas City, LLC | Speech-Language Pathologist | Current |
Accepting new patients |
| Empowerme Rehabilitation Illinois, LLC | Speech-Language Pathologist | Current |
Accepting new patients |
| Empowerme Wellness Kansas City, LLC | Current |
Accepting new patients |
Locations
1021 W E St
Belleville, IL 62220
Phone (618) 233-2095
7108 Marine Rd
Edwardsville, IL 62025
Phone (618) 706-9759
813 Lars Hoffman Xing
Godfrey, IL 62035
Phone (618) 466-0600
1421 W 10th St
Metropolis, IL 62960
Phone (618) 312-7300
1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 146011591 | IL | Yes |
Addresses
Primary practice location
813 Lars Hoffman Xing
Godfrey, IL 62035-4240
Mailing address
2608 Eau Claire Ave
Godfrey, IL 62035-1707
Phone (618) 791-3661
Other providers in Godfrey, IL
- Godfrey Healthcare & Rehabilitation Center LLC
- Godfrey Prescription Shoppe
- Daphne Joanna Gonzalez Aponte
- Stanley Gooding
- Jennifer Sue Gottlob
- Rhonda Nicole Green
- Catherine Elizabeth Greene
- Siera Meagan Gries
- Jaime N Haar
- Robert Frank Hamilton
All providers in Godfrey, IL · Speech-Language Pathologist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.