Kellie Renee Cousino, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.2203507-SUPV Issued in OH

Practice address

2606 102ND St
Toledo, OH 43611-2010

Phone

(419) 217-2122

NPI assigned

May 9, 2018

Last updated

Mar 18, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other names 1

• Kellie Renee England Former name

Medicare fee-for-service enrollment

Enrolled in OH, SC, FL3 enrollments

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 3

Specialty

Clinical Social Worker

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mental Health Specialty Group PAGroup PAC ID 8921466228, 726 clinicians

Ria Health PCGroup PAC ID 6204235682, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kellie.cousino.1@16211.direct.athenahealth.com

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.

• Mental Health Specialty Group PA

  dba Rula Health

  • Mental Health Counselor
  • Durham, NC
  • NPI 1801472634

  OH

  Medicare reassignment Care Compare group NPD
• Ria Health PC

  • Addiction Medicine (Internal Medicine) Physician
  • San Francisco, CA
  • NPI 1326539404

  FL

  Medicare reassignment Care Compare group NPD
• Mindfully, LLC

  dba Compass Point Counseling Services

  • Counselor
  • Fairfield, OH
  • NPI 1972702520

  Social Worker

  Medicare reassignment NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Clinical, OH, SC

  Medicare reassignment NPD
• Water Blue Therapy

  • Clinical Social Worker
  • Toledo, OH
  • NPI 1003549270
  Authorized official Same address or phone
• Mindfully, LLC

  • Counselor
  • Jacksonville, FL
  • NPI 1376271981

  Social Worker

  NPD
• Cook Counseling and Consulting Inc.

  • Clinical Social Worker
  • Gahanna, OH
  • NPI 1629791363
  NPD (past)

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

{
    "created_epoch": "1525824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1295224897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2606 102ND ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436112010",
            "telephone_number": "419-217-2122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2606 102ND ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436112010",
            "telephone_number": "419-217-2122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUSINO",
        "first_name": "KELLIE",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-09",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "15180",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2203507-SUPV",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "21506",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLIE",
            "last_name": "ENGLAND",
            "middle_name": "RENEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Casey Cousino
• Craig Andrew Cousino, RN
• Emily Cousino
• Heidi Cousino, LPN
• Joel Jay Cousino, PTA, RKT
• Linda Diane Cousino, LPN NURSE
• Richard Michael Cousino II, D.O.
• Cousins Medical Supplies, Inc.
• Mariah Coutchure
• Kirby Ruth Coutinho, MD

• Clinical Social Worker in Toledo, OH
• Providers in Toledo, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.