Athena Alexandra Kouspidis, MHC-LP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

133596 Issued in NY

Practice address

65 Air Park Dr Ste 10
Ronkonkoma, NY 11779-7374

Phone

(631) 533-0315

Fax

(855) 752-5170

NPI assigned

Feb 5, 2025

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

Locations

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.

• Sean Tendler Mental Health Counseling, P.C.

  • Mental Health Counselor
  • Commack, NY
  • NPI 1437626025
  NPD

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

{
    "created_epoch": "1738713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1205640653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "368 VETERANS MEMORIAL HWY STE 3",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117254322",
            "telephone_number": "631-533-0315",
            "fax_number": "855-752-5170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 AIR PARK DR STE 10",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117797374",
            "telephone_number": "631-533-0315",
            "fax_number": "855-752-5170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOUSPIDIS",
        "first_name": "ATHENA ALEXANDRA",
        "credential": "MHC-LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-05",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "133596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Kochnower, PA
• Lori Beth Koerner
• Brittnay Konkle, LMT
• Suzanne Margaret Kontak, PMHNP-BC, ANP-C, RN
• Patricia Ann Koster, RN
• Tiffany Carol Kraft
• Alora Krajna, LMHC
• Christine Kraniak
• Brigette Kremens, LMHC
• Deann M Kruse

• Mental Health Counselor in Ronkonkoma, NY
• Providers in Ronkonkoma, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.