Nicholas Elijah Kosht

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ASW131280 Issued in CA

Practice address

3950 Long Beach Blvd Ste 101
Long Beach, CA 90807-5410

Phone

(562) 684-1300

NPI assigned

Sep 23, 2025

Last updated

Sep 23, 2025By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Psych Lab Psychology, Inc.

  dba Psych Lab

  • Clinical Psychologist
  • Long Beach, CA
  • NPI 1811452196
  NPD

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

{
    "created_epoch": "1758585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1124990528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3011",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906408311",
            "telephone_number": "970-618-2779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 LONG BEACH BLVD STE 101",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908075410",
            "telephone_number": "562-684-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSHT",
        "first_name": "NICHOLAS",
        "middle_name": "ELIJAH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-09-23",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW131280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kosal Kom, DDS, Inc
• Faith Koscal, AMFT
• Kathleen Ann Kosche, LCSW
• Perry R Koseff, DO
• Jennifer Kosel, RKT
• Madeleine Hope Koster
• Golzar Kouklan, BS
• Manuelda Koumba Dike
• Stephen T. Kouri, M.D.
• Julie Elizabeth Kovac, LCSW

• Clinical Social Worker in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; 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.