Andrea Koutras, LLMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L697018 Issued in MI

Practice address

3201 Hallmark CT
Saginaw, MI 48603-2109

Phone

(989) 746-7500

Fax

(989) 746-4658

NPI assigned

Apr 1, 2015

Last updated

Feb 23, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Clinical Social Worker

Education

Michigan State University College of Human Medicine, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Saginaw Cooperative Hospitals IncGroup PAC ID 3971400318, 74 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

91.39 of 100Reported as apm

Quality

73.44

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Saginaw Cooperative Hospitals, Inc

  dba Cmu Medical Education Partners

  • Internal Medicine Physician
  • Saginaw, MI
  • NPI 1346344991
  Medicare reassignment Care Compare group NPD
• Saginaw Cooperative Hospital Inc

  • Hospitalist Physician
  • Saginaw, MI
  • NPI 1548877434
  NPD
• Saginaw Cooperative Hospitals, Inc

  dba Cmu Medical Education Partners

  • Psychiatry Physician
  • Saginaw, MI
  • NPI 1104106962

  Social Worker

  NPD
• Family & Childrens Services Mid-Michigan FCSM

  • Mental Health Counselor
  • Midland, MI
  • NPI 1144275660
  NPD (past)

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

{
    "created_epoch": "1427846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645574400000",
    "number": "1013302504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 HOUGHTON AVE",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486025303",
            "telephone_number": "989-746-7500",
            "fax_number": "989-746-4658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 HALLMARK CT",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486032109",
            "telephone_number": "989-746-7500",
            "fax_number": "989-746-4658"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1714 Eastman Ave",
            "address_purpose": "LOCATION",
            "city": "Midland",
            "state": "MI",
            "postal_code": "486404216",
            "country_code": "US",
            "telephone_number": "989-631-5390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOUTRAS",
        "first_name": "ANDREA",
        "credential": "LLMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-01",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "L697018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Marie Kosiara
• Natalie Grace Kosnik, DO
• Austin Lee Kotch
• Camille Helena Koterba, MD
• Sambasiva Kottamasu, M.D.
• Jessica M Kovach, NP
• Rebecca E Kovick
• Carrie L. Kovolski, FNP-C
• Lauren Kowalewsky, OTRL
• Dolores Joanne Kowalski-Meier, O.D.

• Clinical Social Worker in Saginaw, MI
• Providers in Saginaw, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.