Individual provider Active NPI

Mary Carolyn B. Barousse, SLP

  • Speech-Language Pathologist
  • Crowley, LA
National Provider Identifier
1821030982
Registry record updated Jul 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
79 Issued in LA
Practice address
516 SE Court Cir
Crowley, LA 70526-4300
Phone
(337) 788-2300
Fax
(337) 788-3219
NPI assigned
Jun 12, 2006
Last updated
Jul 1, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 79 LA Primary

Addresses

Primary practice location

516 SE Court Cir
Crowley, LA 70526-4300

Mailing address

PO Box 2300
Crowley, LA 70527
Phone (337) 788-2300

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
79LAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246406400000",
    "number": "1821030982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2300",
            "city": "CROWLEY",
            "state": "LA",
            "postal_code": "70527",
            "telephone_number": "337-788-2300",
            "fax_number": "337-788-3219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 SE COURT CIR",
            "city": "CROWLEY",
            "state": "LA",
            "postal_code": "705264300",
            "telephone_number": "337-788-2300",
            "fax_number": "337-788-3219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAROUSSE",
        "first_name": "MARY CAROLYN",
        "middle_name": "B.",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2009-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "79",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crowley, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2009; 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.