Active NPI
Couch Therapies LLC
- Professional Counselor
- Detroit, MI
National Provider Identifier
1598284150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- COUCH THERAPIES LLC
- Practice address
- 14203 Penrod St
Detroit, MI 48223-3578 - Phone
- (734) 972-6359
- Fax
- (734) 808-0084
- NPI assigned
- Sep 14, 2017
- Last updated
- Apr 2, 2024
- 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
- Marcie E Kansou, LPC
- Title
- Owner/ Professional Counselor
- Phone
- (734) 972-6359
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | NU | Primary |
Addresses
Primary practice location
14203 Penrod St
Detroit, MI 48223-3578
Mailing address
14203 Penrod St
Detroit, MI 48223-3578
Phone (734) 972-6359
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505347200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1712016000000",
"number": "1598284150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14203 PENROD ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482233578",
"telephone_number": "734-972-6359",
"fax_number": "734-808-0084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14203 PENROD ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482233578",
"telephone_number": "734-972-6359",
"fax_number": "734-808-0084"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COUCH THERAPIES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-09-14",
"last_updated": "2024-04-02",
"certification_date": "2024-04-02",
"status": "A",
"authorized_official_last_name": "KANSOU",
"authorized_official_first_name": "MARCIE",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OWNER/ PROFESSIONAL COUNSELOR",
"authorized_official_telephone_number": "734-972-6359",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.