Individual provider Active NPI

Jan M Kouzes, EDD

  • Counseling Psychologist
  • Richland, WA
National Provider Identifier
1407983778
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
PY00001763 Issued in WA
Practice address
750 George Washington Way
Suite 8
Richland, WA 99352-4247
Phone
(509) 942-1214
Fax
(509) 946-8475
NPI assigned
Feb 27, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X PY00001763 WA Primary

Addresses

Primary practice location

750 George Washington Way
Suite 8
Richland, WA 99352-4247

Mailing address

750 George Washington Way
Suite 8
Richland, WA 99352-4247
Phone (509) 942-1214

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY00001763WAMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
David W Agnor PHD PC Dba Senior Connections Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407983778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 GEORGE WASHINGTON WAY",
            "address_2": "SUITE 8",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993524247",
            "telephone_number": "509-942-1214",
            "fax_number": "509-946-8475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 GEORGE WASHINGTON WAY",
            "address_2": "SUITE 8",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993524247",
            "telephone_number": "509-942-1214",
            "fax_number": "509-946-8475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOUZES",
        "first_name": "JAN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "EDD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "WA",
            "license": "PY00001763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.