Kou Weasah, LCMHCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A17913 Issued in NC

Practice address

301 S Main St
Kannapolis, NC 28081-3203

Phone

(704) 630-6634

NPI assigned

May 26, 2022

Last updated

Jun 22, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1653523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1326786526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11525 KEMPSFORD DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282622547",
            "telephone_number": "704-989-3629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S MAIN ST",
            "city": "KANNAPOLIS",
            "state": "NC",
            "postal_code": "280813203",
            "telephone_number": "704-630-6634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEASAH",
        "first_name": "KOU",
        "credential": "LCMHCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-26",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A17913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER LICENSE",
            "identifier": "20328247",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Charlotte",
            "affiliation": "N",
            "address_1": "301 S Main St",
            "city": "Kannapolis",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280813203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ann Beaver Ware, LPN
• Moses Washington Jr., P-LCSW
• Paula Colette Washington, PHARMD
• Jessica Anne Watson, DACCHM, LA.C
• Lisa Lynne Watson, NP
• Heather Webb, LCSW-A
• Wellhouse Chiropractic, PLLC.
• Wellness One of Hickory, Inc. (ProSpine of Kannapolis)
• Jennifer Lynn Wells, D.D.S.
• Tatyana Wells, PHARMD

• Mental Health Counselor in Kannapolis, NC
• Providers in Kannapolis, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; 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.