Organization Active NPI

Kousa Psychological Services LLC

  • Mental Health Counselor
  • Brookline, MA
National Provider Identifier
1427831403
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

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

Authorized official

Name
Yuqian Tian, LMHCNPI 1548678766
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)CodeLicenseStatePrimary
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 Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.