Active NPI
Laura Mariah Crouse, MS CCC SLP AAOGPE
- Speech-Language Pathologist
- Mount Pleasant, SC
National Provider Identifier
1447808696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 6620
- Practice address
- 1127 Queensborough Blvd Ste 104
Mt Pleasant, SC 29464-5431 - NPI assigned
- Aug 30, 2019
- Last updated
- Feb 21, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 6620 | SC | MD | Speech-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.