Kelly Marie Couturier, CASAC-T

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

38884 Issued in NY

Practice address

20 West 37TH Street
Manhattan, NY 10018

Phone

(212) 268-8830

NPI assigned

Oct 9, 2024

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Tri Center Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • New York, NY
  • NPI 1750301180
  NPD (past)

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

{
    "created_epoch": "1728432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1093534786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 WEST 37TH STREET",
            "city": "MANHATTAN",
            "state": "NY",
            "postal_code": "10018",
            "telephone_number": "212-268-8830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 WEST 37TH STREET",
            "city": "MANHATTAN",
            "state": "NY",
            "postal_code": "10018",
            "telephone_number": "212-268-8830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUTURIER",
        "first_name": "KELLY",
        "middle_name": "MARIE",
        "credential": "CASAC-T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-09",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "38884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yuberkys Cabrera, LCSW
• Manuel Cadiz, CASAC COUNSELOR
• Ria Luna Tesoro Campantero, PT, DPT
• Robert Castracane, DMD
• Imaan Amin Chowdhury, M.D
• CVS Albany LLC
• CVS Albany LLC
• Fionn Patrick Daly, MB, BCH, BAO
• Ritterdale Davis, CASAC-T
• Vanessa Depersiis, OTR/L

• All providers in Manhattan, NY
• Addiction (Substance Use Disorder) Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.