Stephen P. Koutrelakos, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

17617 Issued in TX

Practice address

5212 75TH St
Lubbock, TX 79424-2520

Phone

(180) 677-3369

NPI assigned

Apr 26, 2009

Sex

Male

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

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

{
    "created_epoch": "1240704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240704000000",
    "number": "1619111382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 PRIVATE ROAD 6470",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794163352",
            "telephone_number": "180-677-3369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5212 75TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794242520",
            "telephone_number": "180-677-3369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOUTRELAKOS",
        "first_name": "STEPHEN",
        "middle_name": "P.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-26",
        "last_updated": "2009-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "17617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stanley J. Kotara, PA
• Koteswaramma Narra, MD, PA
• Korey Dean Kothmann, D.C.
• Rajinder Koul, PHD
• Kourtney Kouth, DDS
• Taylor Jensen Kouts, OTR/L, OTD
• Lindsey N Kozlovsky
• Aaron Paul Krahl, PHARMD
• Jessie Krakosky, M.S., CCC-SLP
• Reanna Krapf

• Counselor in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2009; 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.