Individual provider Active NPI

Marilu B Kaisershot, MS, SLP-CCC

  • Speech-Language Pathologist
  • Golden, CO
National Provider Identifier
1992959969
Registry record updated Aug 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
1270 N Ford St
Golden, CO 80403-1967
Phone
(210) 818-9191
NPI assigned
Nov 4, 2008
Last updated
Aug 26, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2021

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 Primary

Addresses

Primary practice location

1270 N Ford St
Golden, CO 80403-1967

Mailing address

1270 N Ford St
Golden, CO 80403-1967
Phone (210) 818-9191

Other practice location 1

1432 Depew St
Lakewood, CO 80214-2237
Phone (210) 818-9191

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220714003822 IL Practitioner - Qualified Speech Language Pathologist 9335530005 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

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

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Rehabilitation Services Il LLC Speech-Language Pathologist CurrentSince Jun 28, 2022 Accepting new patients
Empowerme Wellness Kansas City, LLC Speech-Language Pathologist CurrentSince Mar 10, 2023 Accepting new patients
Empowerme Wellness Kansas City, LLC CurrentSince Mar 10, 2023 Accepting new patients
Empowerme Rehabilitation Illinois, LLC Speech-Language Pathologist CurrentSince Mar 10, 2023 Accepting new patients
Empowerme Rehabilitation Illinois, LLC Speech-Language Pathologist CurrentSince Mar 10, 2023 Accepting new patients
Savoy Therapy Services Inc Speech-Language Pathologist CurrentSince Dec 19, 2022 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

415 N Dunlap Ave
Unit 452
Savoy, IL 61874
Phone (217) 898-8393

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

7 Carnegie Plz
Cherry Hill, NJ 08003

Organizations & group practices 6

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": "1225756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629936000000",
    "number": "1992959969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1270 N FORD ST",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804031967",
            "telephone_number": "210-818-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1270 N FORD ST",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804031967",
            "telephone_number": "210-818-9191"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1432 Depew St",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CO",
            "postal_code": "802142237",
            "country_code": "US",
            "telephone_number": "210-818-9191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAISERSHOT",
        "first_name": "MARILU",
        "middle_name": "B",
        "name_prefix": "Ms.",
        "credential": "MS, SLP-CCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-04",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Golden, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; 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.