Organization Active NPI

Couch Therapies LLC

  • Professional Counselor
  • Detroit, MI
National Provider Identifier
1598284150
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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

Authorized official

Name
Marcie E Kansou, LPCNPI 1073805818
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)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
O20240613000346 MI Part B Supplier - Clinic/Group Practice 9335681790 Receives reassigned benefits from 1 practitioner
Practice locations: Detroit, MI

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": "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.

Verify at the official NPI Registry.