Active NPI
Michelle Babette Kout, LMFT
- Mental Health Counselor
- Escondido, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LMFT117026
- Practice address
- 2150 N Centre City Pkwy Ste M
Escondido, CA 92026-1347 - Phone
- (760) 642-1202
- Fax
- (951) 858-9215
- NPI assigned
- Oct 21, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | IMF79550 | CA | |
| Mental Health Counselor | 101YM0800X | LMFT117026 | CA | Primary |
Addresses
Primary practice location
2150 N Centre City Pkwy Ste M
Escondido, CA 92026-1347
Mailing address
2150 N Centre City Pkwy Ste M
Escondido, CA 92026-1347
Phone (760) 642-1202
Other practice location 1
9029 Park Plaza Dr Ste 101
LA Mesa, CA 91942-3450
Phone (888) 688-0248
Other practice location 2
474 W Vermont Ave Ste 101
Escondido, CA 92025-6584
Phone (760) 480-2255
Other practice location 3
2124 S El Camino Real Ste 101
Oceanside, CA 92054-6211
Phone (888) 688-0248
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LMFT117026 | Other | CA | BOARD OF BEHAVIORAL SCIENCES LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMF79550 | CA | MD | Mental Health Counselor |
| LMFT117026 | CA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tranquil Soul Therapy an Individual Marriage and Family Counseling Corporation | Mental Health | Current | Accepting new patients |
| Fusion Care Group, a Psychological Professional Corporation | Past | Accepting new patients |
Locations
2150 N Centre City Pkwy
Ste M
Escondido, CA 92026
Phone (760) 642-1202
Organizations & group practices 2
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.
-
- Mental Health Counselor
- Escondido, CA
- NPI 1801607858
-
- Clinical Psychologist
- Alpine, CA
- NPI 1275177982
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688169600000",
"number": "1407307754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2150 N CENTRE CITY PKWY STE M",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920261347",
"telephone_number": "760-642-1202",
"fax_number": "951-858-9215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2150 N CENTRE CITY PKWY STE M",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920261347",
"telephone_number": "760-642-1202",
"fax_number": "951-858-9215"
}
],
"practiceLocations": [
{
"address_1": "9029 Park Plaza Dr Ste 101",
"address_purpose": "LOCATION",
"city": "LA Mesa",
"state": "CA",
"postal_code": "919423450",
"country_code": "US",
"telephone_number": "888-688-0248",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "474 W Vermont Ave Ste 101",
"address_purpose": "LOCATION",
"city": "Escondido",
"state": "CA",
"postal_code": "920256584",
"country_code": "US",
"telephone_number": "760-480-2255",
"fax_number": "760-741-6645",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2124 S El Camino Real Ste 101",
"address_purpose": "LOCATION",
"city": "Oceanside",
"state": "CA",
"postal_code": "920546211",
"country_code": "US",
"telephone_number": "888-688-0248",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOUT",
"first_name": "MICHELLE",
"middle_name": "BABETTE",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-10-21",
"last_updated": "2023-07-01",
"certification_date": "2023-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "IMF79550",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "LMFT117026",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF BEHAVIORAL SCIENCES LICENSE",
"identifier": "LMFT117026",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Escondido, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.