Individual provider Active NPI

Linda L Cousino, LSW,

  • Professional Counselor
  • Sylvania, OH
National Provider Identifier
1740489749
Registry record updated Nov 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E0010453 Issued in OH
Practice address
4913 Harroun Rd
Sylvania, OH 43560-2197
Phone
(419) 870-8763
Fax
(419) 870-8763
NPI assigned
Jul 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X S-0010453 OH
Professional Counselor 101YP2500X E0010453 OH Primary
Professional Counselor 101YP2500X 6401009026 MI

Addresses

Primary practice location

4913 Harroun Rd
Sylvania, OH 43560-2197

Mailing address

4913 Harroun Rd
Sylvania, OH 43560-2197
Phone (419) 870-8763

Other names 1

  • Ms. Linda L Cousino Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6401009026MIMDProfessional Counselor
E0010453OHMDProfessional Counselor
S-0010453OHMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226102400000",
    "number": "1740489749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4913 HARROUN RD",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435602197",
            "telephone_number": "419-870-8763",
            "fax_number": "419-870-8763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4913 HARROUN RD",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435602197",
            "telephone_number": "419-870-8763",
            "fax_number": "419-870-8763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUSINO",
        "first_name": "LINDA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "LSW,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-11",
        "last_updated": "2008-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "S-0010453",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E0010453",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401009026",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDA",
            "last_name": "COUSINO",
            "middle_name": "L",
            "prefix": "MS.",
            "credential": "PCC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Sylvania, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2008; 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.