Jean-Merimee Kouagheu

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

RN2263506 Issued in MA

Practice address

85 Patton Rd
Devens, MA 01434-4401

Phone

(978) 615-5200

NPI assigned

Feb 25, 2020

Last updated

Feb 25, 2020By the provider in NPPES

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

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

First Psychiatric Planners, IncGroup PAC ID 3476653387, 11 clinicians

Devens Treatment and Recovery Center LLCGroup PAC ID 8123319498, 29 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jkouagheu116884@direct.challiance.masshiway.net

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.

• Devens Treatment & Recovery Center, LLC

  dba Taravista Behavioral Health

  • Psychiatry Physician
  • Devens, MA
  • NPI 1811473267
  Medicare reassignment Care Compare group NPD
• First Psychiatric Planners, Inc

  dba Bournewood Hospital

  • Psychiatric Hospital
  • Brookline, MA
  • NPI 1093714412
  Medicare reassignment Care Compare group NPD
• Vantage Healthcare LLC

  dba Vantage Healthcare

  • Internal Medicine Physician
  • Canton, MA
  • NPI 1366903551
  Medicare reassignment NPD
• Thrive Counseling LLC

  dba Thriveworks

  • Mental Health Counselor
  • Lynchburg, VA
  • NPI 1215181300

  MA

  Medicare reassignment NPD
• Riviere Behavioral Care

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ayer, MA
  • NPI 1629892872
  NPD Authorized official
• Bournewood Clinical Associates

  • Nurse Practitioner
  • Brookline, MA
  • NPI 1891780144
  NPD
• Cambridge Public Health Commission

  dba Cambridge Health Alliance

  • General Acute Care Hospital
  • Cambridge, MA
  • NPI 1487603585
  NPD
• Devens Treatment & Recovery Center, LLC

  dba TaraVista Behavioral Health Center

  • Psychiatric Hospital
  • Devens, MA
  • NPI 1063876241
  NPD (past)

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

{
    "created_epoch": "1582588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582588800000",
    "number": "1689208050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 NORWOOD AVE",
            "city": "AYER",
            "state": "MA",
            "postal_code": "01432",
            "telephone_number": "978-551-1607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 PATTON RD",
            "city": "DEVENS",
            "state": "MA",
            "postal_code": "014344401",
            "telephone_number": "978-615-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOUAGHEU",
        "first_name": "JEAN-MERIMEE",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-25",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2263506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria K Heath, NURSE PRACTITIONER
• Kristen Ann Hickey, RN
• Robert Kalugo
• Manpreet Kaur
• Sophia Khalifa
• Rebecca Lanteigne
• Ethan Lindenbaum, DO
• Julie M Macwilliams, LICSW
• Kendra Marie Maltais, LCSW
• Massachusetts Development Finance Agency (Devens Fire Department)

• Psychiatric/Mental Health Registered Nurse in Devens, MA
• Providers in Devens, MA by specialty
• Psychiatric/Mental Health Registered Nurse in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.