Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Kimberly Council , SLP

Speech-Language Pathologist โ€ข St Augustine, FL

Active NPI 1437869781 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

190 Southpark Blvd Ste 100
St Augustine, FL 320864209

Call 9048241478 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

190 Southpark Blvd Ste 100

St Augustine, FL 320864209

Telephone 9048241478
Other Listings in Public Data

NPPES lists 1 additional practice-address record in Saint Johns, FL. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 2 distinct group names: Healthpro Heritage Rehab And Fitness Llc; Rww Senior Living Outpatient Rehab Services Llc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2008

Medicare patients

14 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $9,716 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $7,741 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Years since graduation

18 years (graduated 2008)

CMS Doctors and Clinicians data list 2008 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2022

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Kimberly Council has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Compared with the same specialty in St Augustine and Florida

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Fewer Medicare Part B services than 80% of clinicians listed under Speech-Language Pathologist in Florida (2024, 172 clinicians with data). Median for this group: 468. Middle half: 197 to 994.

Too few clinicians listed under Speech-Language Pathologist in St Augustine have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

A lower Medicare-allowed amount than 80% of clinicians listed under Speech-Language Pathologist in Florida (2024, 172 clinicians with data). Median for this group: $33,685. Middle half: $14,924 to $60,745.

Too few clinicians listed under Speech-Language Pathologist in St Augustine have Medicare Part B data for 2024 to compare.

Paid by Medicare

A lower Medicare payment amount than 80% of clinicians listed under Speech-Language Pathologist in Florida (2024, 172 clinicians with data). Median for this group: $26,569. Middle half: $11,611 to $47,665.

Too few clinicians listed under Speech-Language Pathologist in St Augustine have Medicare Part B data for 2024 to compare.

99 active clinicians are listed under Speech-Language Pathologist with a practice address in St Augustine, FL (11,513 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in St Augustine

0% of these 99 clinicians have the CMS telehealth indicator.

3% of these 99 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
92507 Treatment of speech, language, voice, communication, and/or hearing processing disorder
105 11 $140.00 $69.50
92523 Evaluation of speech sound production with evaluation of language comprehension and expression
11 11 $250.00 $219.87

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-10-23
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES FL SA10077

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - QUALIFIED SPEECH LANGUAGE PATHOLOGIST

Medicare Enrollment ID

I20241106004308

Enrollment State Jurisdiction

FL

PECOS Control ID

3274067723

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Healthpro Heritage Rehab And Fitness Llc

4870 Belfort Rd, Jacksonville, FL 322566004

Phone: 9045064324

Rww Senior Living Outpatient Rehab Services Llc

10605 S Jog Rd, Boynton Beach, FL 334373234

Phone: 9047177782

Secondary Practice Locations

2430 County Road 210 W Ste B

Saint Johns, FL 322592419

Phone: 9047177782

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

3 listed
Desarae Dohogne , PT

Physical Therapist

NPI 1346673787

Physical Therapist

Gabriel Panebianco Huffman

Physical Therapist - Neurology

NPI 1487334280
Dr. Kaycie White , PT, DPT

Physical Therapist

NPI 1083389050

Physical Therapist, Doctor of Physical Therapy

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 23, 2024

Speech-Language Pathologist (license number reported to NPPES: FL SA10077)

โœ…
NPI Profile Active November 28, 2022

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) November 28, 2022

Registered at 190 SOUTHPARK BLVD STE 100, ST AUGUSTINE, FL 320864209 (Tel: 9048241478)

๐Ÿ“
Business Mailing Address (Initial Record) November 28, 2022

Registered at 107 WILD ROSE DR, SAINT JOHNS, FL 322598470 (Tel: 7065409051)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) November 28, 2022

Recorded as KIMBERLY COUNCIL, SLP

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 28, 2022

Speech-Language Pathologist (license number reported to NPPES: FL 10077)

๐ŸŸข
Initial NPI Registration & Enumeration November 28, 2022

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1437869781
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 28, 2022
Last Update: October 23, 2024
Sole Proprietor: No

Mailing Address

107 Wild Rose Dr

Saint Johns, FL 322598470

Phone: 7065409051

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.