Individual provider Active NPI

Laura Denise Ciccarelli, MS

  • Genetic Counselor (M.S.)
  • North Charleston, SC
National Provider Identifier
1588356505
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Genetic Counselor (M.S.)Taxonomy code 170300000X
License
388 Issued in SC
Practice address
3520 W Montague Ave Ste 104
North Charleston, SC 29418-6083
Phone
(843) 735-5086
Fax
(843) 735-5097
NPI assigned
May 26, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Genetic Counselor (M.S.) 170300000X 388 SC Primary

Addresses

Primary practice location

3520 W Montague Ave Ste 104
North Charleston, SC 29418-6083

Mailing address

337 Molasses LN
Mt Pleasant, SC 29464-2520
Phone (843) 735-5086

Other practice location 1

337 Molasses Ln
MT Pleasant, SC 29464-2520
Phone (843) 735-5086

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

NPI Registry JSON

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

{
    "created_epoch": "1685059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1588356505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "337 MOLASSES LN",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294642520",
            "telephone_number": "843-735-5086",
            "fax_number": "843-735-5097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3520 W MONTAGUE AVE STE 104",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294186083",
            "telephone_number": "843-735-5086",
            "fax_number": "843-735-5097"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "337 Molasses Ln",
            "address_purpose": "LOCATION",
            "city": "MT Pleasant",
            "state": "SC",
            "postal_code": "294642520",
            "country_code": "US",
            "telephone_number": "843-735-5086",
            "fax_number": "843-735-5097",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CICCARELLI",
        "first_name": "LAURA",
        "middle_name": "DENISE",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-26",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "SC",
            "license": "388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.

Verify at the official NPI Registry.