Active NPI
Randy Leroy Cousineau, CAADC, LPC, MLSW
- Addiction (Substance Use Disorder) Counselor
- Muskegon, MI
National Provider Identifier
1104177047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 206486
- Practice address
- 1823 Commerce St.
Muskegon, MI 49411 - Phone
- (231) 728-2138
- Fax
- (231) 722-4771
- NPI assigned
- Oct 1, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 6401001535 | MI | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 206486 | MI | Primary |
| Social Worker | 104100000X | 6801057570 | MI |
Addresses
Primary practice location
1823 Commerce St.
Muskegon, MI 49411
Mailing address
1823 Commerce St.
West Michigan Therapy
Muskegon, MI 49441
Phone (231) 728-2138
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401001535 | MI | MD | Counselor |
| 206486 | MI | MD | Addiction (Substance Use Disorder) Counselor |
| 6801057570 | MI | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arbor Circle Corporation | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Newaygo, MI
- NPI 1780873448
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349049600000",
"number": "1104177047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1823 COMMERCE ST.",
"address_2": "WEST MICHIGAN THERAPY",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "49441",
"telephone_number": "231-728-2138",
"fax_number": "231-722-4771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1823 COMMERCE ST.",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "49411",
"telephone_number": "231-728-2138",
"fax_number": "231-722-4771"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COUSINEAU",
"first_name": "RANDY",
"middle_name": "LEROY",
"name_prefix": "Mr.",
"credential": "CAADC, LPC, MLSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-10-01",
"last_updated": "2012-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MI",
"license": "6401001535",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MI",
"license": "206486",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6801057570",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Muskegon, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.