Marilu B Kaisershot, MS, SLP-CCC
Individual provider Active NPI Speech-Language Pathologist · Golden, CO
NPI 1992959969 · NPPES record last updated Aug 26, 2021
Key facts
- NPI
- 1992959969
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Practice address
- 1270 N Ford St
Golden, CO 80403-1967 - Phone
- (210) 818-9191
- NPI assigned
- Nov 4, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 11
Medicare Care Compare profile
- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2002
- 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 |
|---|---|---|---|---|
| I20220714003822 | IL | Practitioner - Qualified Speech Language Pathologist | 9335530005 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empowerme Rehabilitation Illinois, LLC | Speech-Language Pathologist | Current |
Accepting new patients |
| Fox Rehabilitation Services Il LLC | Speech-Language Pathologist | Current |
Accepting new patients |
| Savoy Therapy Services Inc | Current |
Accepting 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 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
415 N Dunlap Ave
Unit 452
Savoy, IL 61874
Phone (217) 898-8393
1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723
7 Carnegie Plz
Cherry Hill, NJ 08003
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Yes |
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
NPI Registry JSON
{
"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
- Camryn Joseph
- Jalyn Marli Joseph
- Scott Jossart
- Joy and Play LLC
- Julie Poelchau, LLC
- Lynn B Kalert
- Dthia Alice Kalkwarf
- Chang Woon Kang
- Robert Scott Kantor
- Arti Karna
All providers in Golden, CO · Speech-Language Pathologist in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 26, 2021. 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.