Katy Renee Cousart, CRNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

1-148640 Issued in AL

Practice address

8215 Madison Blvd Ste 130
Madison, AL 35758-2000

Phone

(256) 325-2500

Fax

(877) 779-0797

NPI assigned

Mar 7, 2017

Last updated

Jan 31, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lighthousepsychiatry&behavioralhealth.katyfrazier@150885.advancedmd-direct.com

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

• Lighthouse Psychiatry & Behavioral Health Clinic LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Madison, AL
  • NPI 1730855768
  NPD Authorized official
• Katy Frazier Pmhnp BC LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Madison, AL
  • NPI 1699444182
  NPD
• Lighthouse Mental Health Services

  • Clinical Social Worker
  • Madison, AL
  • NPI 1457177388

  Psychiatric/Mental Health

  NPD (past)
• North Alabama Family Psychiatry & Counseling

  • Adult Mental Health Clinic/Center
  • Madison, AL
  • NPI 1003368671
  NPD (past)
• Robert L Geist, PHD, LLC

  • Clinical Psychologist
  • Madison, AL
  • NPI 1255970851
  NPD (past)

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

{
    "created_epoch": "1488844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1649710880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8215 MADISON BLVD STE 130",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357582000",
            "telephone_number": "256-325-2500",
            "fax_number": "877-779-0797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8215 MADISON BLVD STE 130",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357582000",
            "telephone_number": "256-325-2500",
            "fax_number": "877-779-0797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUSART",
        "first_name": "KATY",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-07",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-148640",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AL",
            "license": "1-148640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cornerstone Medical Inc (Cornerstone Medical)
• Cornerstone Pediatrics, P.C
• Costco Wholesale Corporation (Costco Hearing Aid #1712)
• Costco Wholesale Corporation (Costco Pharmacy #1712)
• Costco Wholesale Corporation (Costco Optical #1712)
• Sharon Cowan, CAC MAC LGSW
• Ana Lynn Manglona Crabtree, MCD, CCC-SLP
• William John Crain, CRNP
• Kayla Michelle Crawley, MSW
• Jacqueline Crespo-Gales, MD

• Psychiatric/Mental Health Nurse Practitioner in Madison, AL
• Providers in Madison, AL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.