Individual provider Active NPI

Celeste Crews Mauro, MS L-SLP CCC-SLP

  • Speech-Language Pathologist
  • Livingston, LA
National Provider Identifier
1881724938
Registry record updated May 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3767 Issued in LA
Practice address
13909 Florida Blvd
Livingston, LA 70754-6340
Phone
(225) 686-4319
NPI assigned
Mar 7, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2024

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 3767 LA Primary

Addresses

Primary practice location

13909 Florida Blvd
Livingston, LA 70754-6340

Mailing address

PO Box 1130
Livingston, LA 70754-1130
Phone (225) 686-4319

Other identifiers 5

IdentifierTypeStateIssuer
146.017545OtherILIL LIC
1-47427-4MedicaidLA
2643118MedicaidLA
3767OtherLALA LICENCE NUMBER
289132OtherKYKY LIC

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
3767LAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Livingston Parish School System PastSince May 7, 2024 Accepting new patients
Livingston Parish School System PastSince May 7, 2024 Accepting new patients

Organizations & group practices 2

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": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714694400000",
    "number": "1881724938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1130",
            "city": "LIVINGSTON",
            "state": "LA",
            "postal_code": "707541130",
            "telephone_number": "225-686-4319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13909 FLORIDA BLVD",
            "city": "LIVINGSTON",
            "state": "LA",
            "postal_code": "707546340",
            "telephone_number": "225-686-4319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAURO",
        "first_name": "CELESTE",
        "middle_name": "CREWS",
        "credential": "MS  L-SLP CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "3767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IL LIC",
            "identifier": "146.017545",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1-47427-4",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2643118",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LA LICENCE NUMBER",
            "identifier": "3767",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KY LIC",
            "identifier": "289132",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; 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.