Individual provider Active NPI

Elisa Ruden, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Belleville, IL
National Provider Identifier
1619794450
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146.010273 Issued in IL
Practice address
150 N 27TH St
Belleville, IL 62226-6621
Phone
(618) 235-6600
NPI assigned
Sep 23, 2024
Last updated
Sep 23, 2024By the provider in NPPES
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 146.010273 IL Primary

Addresses

Primary practice location

150 N 27TH St
Belleville, IL 62226-6621

Mailing address

434 Broadway
East Alton, IL 62024-1330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250414002686 IL Practitioner - Qualified Speech Language Pathologist 1456875228 Reassigns benefits to 3 organizations
I20260313001449 MO Practitioner - Qualified Speech Language Pathologist 1456875228 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Therapeutics LTDGroup PAC ID 8921230137, 324 clinicians

Practice addresses (Care Compare)

7108 Marine Rd
Edwardsville, IL 62025-4282
Phone (618) 706-9759

844 Cambridge Blvd
O Fallon, IL 62269-1976
Phone (618) 242-3742

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
146.010273ILMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Empowerme Wellness Kansas City, LLC Speech-Language Pathologist CurrentSince Jan 27, 2026 Accepting new patients
Empowerme Wellness Kansas City, LLC Speech-Language Pathologist CurrentSince Jan 27, 2026 Accepting new patients
Empowerme Wellness Kansas City, LLC CurrentSince Jan 27, 2026 Accepting new patients
Empowerme Rehabilitation Missouri LLC Speech-Language Pathologist CurrentSince Jan 27, 2026 Accepting new patients
Empowerme Rehabilitation Missouri LLC Speech-Language Pathologist CurrentSince Jan 27, 2026 Accepting new patients
Empowerme Rehabilitation Illinois, LLC Speech-Language Pathologist CurrentSince Jan 27, 2026 Accepting new patients
Comprehensive Therapeutics LTD Speech-Language Pathologist CurrentSince Mar 10, 2025 Accepting new patients
Comprehensive Therapeutics LTD Speech-Language Pathologist CurrentSince Mar 10, 2025 Accepting new patients
Empowerme Rehabilitation Illinois, LLC Speech-Language Pathologist CurrentSince Jan 27, 2026 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

1015 Oconor Ave
La Salle, IL 61301
Phone (224) 616-5446

16255 Chesterfield Pkwy W
Chesterfield, MO 63017
Phone (636) 812-6942

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 287-3917

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1727049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1619794450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "434 BROADWAY",
            "city": "EAST ALTON",
            "state": "IL",
            "postal_code": "620241330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 N 27TH ST",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622266621",
            "telephone_number": "618-235-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDEN",
        "first_name": "ELISA",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "U",
        "enumeration_date": "2024-09-23",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.010273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.