Individual provider Active NPI

Kayla Bouska

  • Speech-Language Pathologist
  • Prospect, ME
National Provider Identifier
1801382189
Registry record updated May 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP2967 Issued in ME
Practice address
615 Fort Knox Rd
Prospect, ME 04981-3124
Phone
(207) 509-0011
NPI assigned
Jul 10, 2018
Last updated
May 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X ST2822 ME
Speech-Language Pathologist 235Z00000X SP2967 ME Primary

Addresses

Primary practice location

615 Fort Knox Rd
Prospect, ME 04981-3124

Mailing address

615 Fort Knox Rd
Prospect, ME 04981-3124
Phone (207) 509-0011

Other practice location 1

324 S Pond Rd
Winslow, ME 04901
Phone (207) 509-0011

Other practice location 2

118 Northport Ave
Belfast, ME 04915-6009
Phone (207) 338-2500

Other names 1

  • Kayla Labrie Former name

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

State licenses

LicenseStateTypeSpecialty
SP2967MEMDSpeech-Language Pathologist
ST2822MEMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Labrieslp LLC CurrentSince Feb 25, 2024 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1531180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746748800000",
    "number": "1801382189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 FORT KNOX RD",
            "city": "PROSPECT",
            "state": "ME",
            "postal_code": "049813124",
            "telephone_number": "207-509-0011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 FORT KNOX RD",
            "city": "PROSPECT",
            "state": "ME",
            "postal_code": "049813124",
            "telephone_number": "207-509-0011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "324 S Pond Rd",
            "address_purpose": "LOCATION",
            "city": "Winslow",
            "state": "ME",
            "postal_code": "04901",
            "country_code": "US",
            "telephone_number": "207-509-0011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "118 Northport Ave",
            "address_purpose": "LOCATION",
            "city": "Belfast",
            "state": "ME",
            "postal_code": "049156009",
            "country_code": "US",
            "telephone_number": "207-338-2500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOUSKA",
        "first_name": "KAYLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-10",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ME",
            "license": "ST2822",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ME",
            "license": "SP2967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYLA",
            "last_name": "LABRIE",
            "credential": "KAYLA LABRIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Prospect, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.