Vasiliki Elizabeth Koutsoulis

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

1585 Dempster St Ste 110
Mt Prospect, IL 60056-4992

Phone

(224) 279-7158

NPI assigned

Dec 8, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Kenneth Young Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mount Prospect, IL
  • NPI 1518364520
  NPD (past)

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

{
    "created_epoch": "1670457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670457600000",
    "number": "1336850593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1585 DEMPSTER ST STE 110",
            "city": "MT PROSPECT",
            "state": "IL",
            "postal_code": "600564992",
            "telephone_number": "224-285-2487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1585 DEMPSTER ST STE 110",
            "city": "MT PROSPECT",
            "state": "IL",
            "postal_code": "600564992",
            "telephone_number": "224-279-7158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOUTSOULIS",
        "first_name": "VASILIKI",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-08",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Michelle Kohut, ED.D, ED.S, M.ED,
• Timothy Charles Kolbaba, DC
• Margaret Kopper, MS CCC SLP
• Anna Koruba, LMT
• Ewa P Koser, DDS
• Sabina K Kozlowski, DN
• Joel L Kragt, M.D
• Nathalie A. Krier, R.PH.
• Krishna V Nadhan M.D. S.C.
• Krupali Shah DDS PC

• Case Manager/Care Coordinator in Mount Prospect, IL
• Providers in Mount Prospect, IL by specialty
• Case Manager/Care Coordinator in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; 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.