Individual provider Active NPI

James Kousoulas, PH.D

  • Mental Health Counselor
  • New York, NY
National Provider Identifier
1427070309
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
000287-1 Issued in NY
Practice address
220 E 54TH St
Suite 1B
New York, NY 10022-4837
Phone
(212) 755-7424
Fax
(212) 755-7424
NPI assigned
Jul 23, 2006
Sex
Male
Sole proprietor
Yes

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
Mental Health Counselor 101YM0800X 000287-1 NY Primary

Addresses

Primary practice location

220 E 54TH St
Suite 1B
New York, NY 10022-4837

Mailing address

178 Elizabeth St
Pearl River, NY 10965-3007
Phone (845) 735-4681

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241022004686 NY Practitioner - Mental Health Counselor 7012440506 Practice locations: West Nyack, NY

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
New York University School of Medicine, 1964
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8 Wolfe Cir
West Nyack, NY 10994-2143
Phone (845) 735-4681

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
000287-1NYMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427070309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 ELIZABETH ST",
            "city": "PEARL RIVER",
            "state": "NY",
            "postal_code": "109653007",
            "telephone_number": "845-735-4681",
            "fax_number": "845-735-4681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 E 54TH ST",
            "address_2": "SUITE 1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100224837",
            "telephone_number": "212-755-7424",
            "fax_number": "212-755-7424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOUSOULAS",
        "first_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "000287-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.