Active NPI
Kelly Criscitiello, MS SLP
- Speech-Language Pathologist
- Johns Island, SC
National Provider Identifier
1336093574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 9367
- Practice address
- 6134 Chisolm Rd
Johns Island, SC 29455-7657 - Phone
- (843) 559-6412
- NPI assigned
- Feb 24, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 9367 | SC | Primary |
Addresses
Primary practice location
6134 Chisolm Rd
Johns Island, SC 29455-7657
Mailing address
1184 Oakcrest Dr
Charleston, SC 29412-9327
Phone (843) 937-6300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9367 | SC | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1771891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771891200000",
"number": "1336093574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1184 OAKCREST DR",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294129327",
"telephone_number": "843-937-6300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6134 CHISOLM RD",
"city": "JOHNS ISLAND",
"state": "SC",
"postal_code": "294557657",
"telephone_number": "843-559-6412"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRISCITIELLO",
"first_name": "KELLY",
"credential": "MS SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-02-24",
"last_updated": "2026-02-24",
"certification_date": "2026-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "SC",
"license": "9367",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Johns Island, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.