Individual provider Active NPI

Laura Mariah Crouse, MS CCC SLP AAOGPE

  • Speech-Language Pathologist
  • Mount Pleasant, SC
National Provider Identifier
1447808696
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
6620 Issued in SC
Practice address
1127 Queensborough Blvd Ste 104
Mt Pleasant, SC 29464-5431
NPI assigned
Aug 30, 2019
Last updated
Feb 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X DC
Speech-Language Pathologist 235Z00000X 6620 SC Primary

Addresses

Primary practice location

1127 Queensborough Blvd Ste 104
Mt Pleasant, SC 29464-5431

Mailing address

47 Ashley Ave
Charleston, SC 29401-6212
Phone (401) 741-5631

Other practice location 1

Coastal Therapy Services
1127 Queensborough BLVD #104
Mt Pleasant, SC 29466

Other practice location 2

1127 Queensborough Blvd Ste 104
MT Pleasant, SC 29464-5431

Other practice location 3

Coastal Therapy Services
1127 Queensborough Blvd
Mt Pleasant, SC 29464

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

LicenseStateTypeSpecialty
6620SCMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1567123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1447808696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 ASHLEY AVE",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294016212",
            "telephone_number": "401-741-5631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1127 QUEENSBOROUGH BLVD STE 104",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294645431"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Coastal Therapy Services",
            "address_2": "1127 Queensborough BLVD #104",
            "address_purpose": "LOCATION",
            "city": "Mt Pleasant",
            "state": "SC",
            "postal_code": "29466",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1127 Queensborough Blvd Ste 104",
            "address_purpose": "LOCATION",
            "city": "MT Pleasant",
            "state": "SC",
            "postal_code": "294645431",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Coastal Therapy Services",
            "address_2": "1127 Queensborough Blvd",
            "address_purpose": "LOCATION",
            "city": "Mt Pleasant",
            "state": "SC",
            "postal_code": "29464",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROUSE",
        "first_name": "LAURA",
        "middle_name": "MARIAH",
        "name_prefix": "Ms.",
        "credential": "MS CCC SLP AAOGPE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-30",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "DC",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "6620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.