Peter Kouzmov, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

129320 Issued in CA

Practice address

50 Tioga Ave
San Francisco, CA 94134-2241

Phone

(510) 939-7670

NPI assigned

Feb 21, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1645401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1063167765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 TIOGA AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941342241",
            "telephone_number": "415-570-2965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 TIOGA AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941342241",
            "telephone_number": "510-939-7670"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 Rutland Rd Apt 3D",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112031537",
            "country_code": "US",
            "telephone_number": "510-939-7670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOUZMOV",
        "first_name": "PETER",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-21",
        "last_updated": "2024-06-10",
        "certification_date": "2022-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "002277",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "129320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra D Kountz, BSW
• Peter Crist Kouretas, MD
• Sarah Genevieve Koutana
• Alexandria Koutsokostas, MA, CCC-SLP
• Alexa Sylvie Kouvelis
• Lily Kovach
• Bartholomew Joseph Kovacs, LMFT
• James Kovacs, LAC
• Denys Kovalchuk, DDS
• Abby Kovalsky

• Marriage & Family Therapist in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.