Individual provider Active NPI

Michelle Babette Kout, LMFT

  • Mental Health Counselor
  • Escondido, CA
National Provider Identifier
1407307754
Registry record updated Jul 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LMFT117026 Issued in CA
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

Updated by the provider on Jul 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
LMFT117026OtherCABOARD 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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
IMF79550CAMDMental Health Counselor
LMFT117026CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Tranquil Soul Therapy an Individual Marriage and Family Counseling Corporation Mental Health CurrentSince Jan 19, 2025 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.

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

Verify at the official NPI Registry.