Marcie E Kansou, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6401010715 Issued in MI

Practice address

14203 Penrod St
Detroit, MI 48223-3578

Phone

(734) 972-6359

NPI assigned

May 12, 2011

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

Mental Health Counselor

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Couch Therapies LLC

  • Professional Counselor
  • Detroit, MI
  • NPI 1598284150
  Medicare reassignment NPD Authorized official
• Wellness Therapy Center LLC

  • Mental Health Counselor
  • Canton, MI
  • NPI 1184398430
  NPD (past)

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

{
    "created_epoch": "1305158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1073805818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14203 PENROD ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482233578",
            "telephone_number": "248-289-3224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14203 PENROD ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482233578",
            "telephone_number": "734-972-6359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANSOU",
        "first_name": "MARCIE",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-12",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401010715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Lynn Kangas, ANP-BC
• Gayathri Reddy Kanmantha Reddy
• Mallika Kanneganti
• Rajendra Kanneganti, M.D.
• Nirupama Kannikeswaran, MD
• Pranish Kantak, MD MPH
• Austin Kantola, MD
• Sorie Alpha Kanu, NURSE PRACTITIONER
• Ajay Kanwar
• Kenzie David Kao, M.D.

• Mental Health Counselor in Detroit, MI
• Providers in Detroit, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; 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.