Active NPI
Ryan G Crouse, LCPC, LADC
- Mental Health Counselor
- Augusta, ME
National Provider Identifier
1487052304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- XL4667
- Practice address
- 841 Riverside Dr
Augusta, ME 04330-8302 - Phone
- (207) 242-0795
- NPI assigned
- Dec 9, 2014
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CAC4687 | ME | |
| Mental Health Counselor | 101YM0800X | XL4667 | ME | Primary |
Addresses
Primary practice location
841 Riverside Dr
Augusta, ME 04330-8302
Mailing address
548 Riverside Dr Apt 1
Augusta, ME 04330-3855
Phone (207) 242-0795
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
841 Riverside Dr
Augusta, ME 04330-8302
Phone (844) 294-5306
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CAC4687 | ME | MD | Addiction (Substance Use Disorder) Counselor |
| XL4667 | ME | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anglez Behavioral Health Services PA | Current | Accepting new patients |
Locations
841 Riverside Dr
Augusta, ME 04330
Phone (207) 213-4616
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.
-
- Case Management Agency
- Augusta, ME
- NPI 1457691263
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749168000000",
"number": "1487052304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "548 RIVERSIDE DR APT 1",
"city": "AUGUSTA",
"state": "ME",
"postal_code": "043303855",
"telephone_number": "207-242-0795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "841 RIVERSIDE DR",
"city": "AUGUSTA",
"state": "ME",
"postal_code": "043308302",
"telephone_number": "207-242-0795"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROUSE",
"first_name": "RYAN",
"middle_name": "G",
"credential": "LCPC, LADC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-12-09",
"last_updated": "2025-06-06",
"certification_date": "2025-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "ME",
"license": "CAC4687",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "ME",
"license": "XL4667",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Augusta, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.