Marisa Glynn Kouroyen

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

13021-MH-CC Issued in MA

Practice address

853 Turnpike St Ste 241
North Andover, MA 01845-6172

Phone

(860) 389-7535

NPI assigned

Oct 3, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Therapy People PLLC

  • Mental Health Counselor
  • Manchester, NH
  • NPI 1659176923
  NPD Authorized official

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

{
    "created_epoch": "1538524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1497230684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 EDGAR AVE",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021451450",
            "telephone_number": "860-389-7535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "853 TURNPIKE ST STE 241",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018456172",
            "telephone_number": "860-389-7535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOUROYEN",
        "first_name": "MARISA",
        "middle_name": "GLYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-03",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "13021-MH-CC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tabby W Kinyanjui, NP
• Seth David Kleinman, LICSW
• Christie Leigh Klisz, ANP
• Lise Inger Knakkergaard, LICSW
• Lindsay Jacklyn Korn, FNP-C
• Eric J Kozol
• John Dominic Kplorfia, NP
• Amanda Gales Kramer, D.M.D.
• Andrea Caporrella Krause, LICSW, CEAP
• Stellah Kulabako, NP

• Mental Health Counselor in North Andover, MA
• Providers in North Andover, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; 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.