Kouesseu Support Foundation

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

KOUESSEU SUPPORT FOUNDATION

Practice address

2864 E Florence Ave Ste 101&102
Huntington Park, CA 90255-5749

Phone

(424) 376-7211

NPI assigned

May 5, 2026

Last updated

May 5, 2026By 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

Gislene Kouesseu

Title

Ceo

Phone

(424) 376-7211

Specialties & licenses 10

Addresses

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

{
    "created_epoch": "1777939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777939200000",
    "number": "1518894500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2864 E FLORENCE AVE STE 101&102",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902555749",
            "telephone_number": "424-376-7211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2864 E FLORENCE AVE STE 101&102",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902555749",
            "telephone_number": "424-376-7211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOUESSEU SUPPORT FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-05",
        "last_updated": "2026-05-05",
        "certification_date": "2026-04-10",
        "status": "A",
        "authorized_official_last_name": "KOUESSEU",
        "authorized_official_first_name": "GISLENE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "424-376-7211"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sue Eunsoo Ko, DDS
• Melody Kohanoff, DDS
• Anthony Kostallas, O.D.
• Kouesseu and Associates.Inc (One 4 All)
• Kouesseu and Associates.Inc
• Velvette Kraut
• Barathi Krishnamaurthy, MD
• Rebecca M Kuhn, MD
• La Libertad Medical Clinic Inc
• La Milagrosa Medical Center, Inc.

• Community/Behavioral Health Agency in Huntington Park, CA
• Providers in Huntington Park, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2026; 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.