Individual provider Active NPI

Mary Elizabeth Kouri

  • Speech-Language Pathologist
  • Durham, NC
National Provider Identifier
1306344536
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
30004647 Issued in NC
Practice address
2530 Meridian Pkwy Ste 300
Durham, NC 27713-5273
Phone
(512) 377-6318
NPI assigned
Jan 23, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 146014357 IL
Speech-Language Pathologist 235Z00000X 30004647 NC Primary

Addresses

Primary practice location

2530 Meridian Pkwy Ste 300
Durham, NC 27713-5273

Mailing address

440 N Barranca Ave # 9898
Covina, CA 91723-1722
Phone (512) 377-6318

Other names 1

  • Mary Redden Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20251119001811 IL Practitioner - Qualified Speech Language Pathologist 6709377559 Reassigns benefits to 1 organization
I20251220000670 NC Practitioner - Qualified Speech Language Pathologist 6709377559 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7600 Chevy Chase Dr
Suite 300
Austin, TX 78752-1503

7600 Chevy Chase Drive BLDG 2
Suite 300
Austin, TX 78752-1503

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
146014357ILMDSpeech-Language Pathologist
30004647NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Expressable Speech-Language Pathology, P.C. Speech-Language Pathologist CurrentSince Jan 4, 2026 Accepting new patients

Locations

440 N Barranca Ave
Covina, CA 91723
Phone (510) 210-5030

633 W 5th St
Los Angeles, CA 90071
Phone (213) 260-1286

633 W 5th St
Ofc 2876B
Los Angeles, CA 90071

5 Revere Dr
Ste 200
Northbrook, IL 60062
Phone (630) 291-3206

5 Revere Dr
#One
Northbrook, IL 60062

2530 Meridian Pkwy
Ste 300
Durham, NC 27713
Phone (919) 443-1708

615 Saint George Square Ct
Ste 300
Winston Salem, NC 27103
Phone (336) 793-8125

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1516665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763683200000",
    "number": "1306344536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 N BARRANCA AVE # 9898",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917231722",
            "telephone_number": "512-377-6318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 MERIDIAN PKWY STE 300",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277135273",
            "telephone_number": "512-377-6318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOURI",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-23",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146014357",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "30004647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "REDDEN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2025; 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.