The Kids' Couch, Inc.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

PC-0000362 Issued in DE

Legal business name

THE KIDS' COUCH, INC.

Practice address

240 N James St
Suite 200
Wilmington, DE 19804-3169

Phone

(302) 633-0301

Fax

(302) 633-0331

NPI assigned

Jun 20, 2006

Last updated

Dec 30, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Olga Yatzus, LPCMH

Title

Executive Director

Phone

(302) 633-0301

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483056000000",
    "number": "1417992587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 N JAMES ST",
            "address_2": "SUITE 200",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198043169",
            "telephone_number": "302-633-0301",
            "fax_number": "302-633-0331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 N JAMES ST",
            "address_2": "SUITE 200",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198043169",
            "telephone_number": "302-633-0301",
            "fax_number": "302-633-0331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE KIDS' COUCH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2016-12-30",
        "status": "A",
        "authorized_official_last_name": "YATZUS",
        "authorized_official_first_name": "OLGA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "302-633-0301",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPCMH"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "DE",
            "license": "PC-0000362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2016; 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.