Active NPI
Kousa Psychological Services LLC
- Mental Health Counselor
- Brookline, MA
National Provider Identifier
1427831403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- KOUSA PSYCHOLOGICAL SERVICES LLC
- Practice address
- 1309 Beacon St Ste 300
Brookline, MA 02446-5252 - Phone
- (617) 286-2526
- NPI assigned
- Aug 15, 2023
- Last updated
- Aug 15, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Yuqian Tian, LMHC
- Title
- Manager/Therapist
- Phone
- (617) 286-2526
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary | ||
| Psychologist | 103T00000X |
Addresses
Primary practice location
1309 Beacon St Ste 300
Brookline, MA 02446-5252
Mailing address
1309 Beacon St Ste 300
Brookline, MA 02446-5252
Phone (617) 286-2526
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Mental Health Counselor
- Brookline, MA
- NPI 1548678766
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692057600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1692057600000",
"number": "1427831403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1309 BEACON ST STE 300",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024465252",
"telephone_number": "617-286-2526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1309 BEACON ST STE 300",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024465252",
"telephone_number": "617-286-2526"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KOUSA PSYCHOLOGICAL SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-15",
"last_updated": "2023-08-15",
"certification_date": "2023-08-15",
"status": "A",
"authorized_official_last_name": "TIAN",
"authorized_official_first_name": "YUQIAN",
"authorized_official_title_or_position": "MANAGER/THERAPIST",
"authorized_official_telephone_number": "617-286-2526",
"authorized_official_credential": "LMHC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brookline, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.