Individual provider Active NPI

Ryan G Crouse, LCPC, LADC

  • Mental Health Counselor
  • Augusta, ME
National Provider Identifier
1487052304
Registry record updated Jun 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
XL4667 Issued in ME
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

Updated by the provider on Jun 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240401001668 ME Practitioner - Mental Health Counselor 9234577958 Reassigns benefits to 1 organization

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
Anglez Behavioral Health Services PAGroup PAC ID 3173765849, 7 clinicians

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

LicenseStateTypeSpecialty
CAC4687MEMDAddiction (Substance Use Disorder) Counselor
XL4667MEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Anglez Behavioral Health Services PA CurrentSince Mar 1, 2024 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.

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

Verify at the official NPI Registry.