Kakouras Family Counseling, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C006451 Issued in NC

Legal business name

KAKOURAS FAMILY COUNSELING, PLLC

Practice address

400 N Broome St
Suite 303
Waxhaw, NC 28173

Phone

(704) 560-4918

NPI assigned

Dec 8, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Melissa L Magee-Kakouras, MSW

Title

Member

Phone

(704) 560-4918

Specialties & licenses 3

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dionysios S Kakouras, MSW, LCSW, LCAS

  • Clinical Social Worker
  • Charlotte, NC
  • NPI 1144550427
  NPD (past)

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

{
    "created_epoch": "1417996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417996800000",
    "number": "1821496860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N BROOME ST",
            "address_2": "SUITE 303",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "28173",
            "telephone_number": "704-560-4918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N BROOME ST",
            "address_2": "SUITE 303",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "28173",
            "telephone_number": "704-560-4918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAKOURAS FAMILY COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-08",
        "last_updated": "2014-12-08",
        "status": "A",
        "authorized_official_last_name": "MAGEE-KAKOURAS",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "704-560-4918",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "1395",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C006451",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C006572",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6007330",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shemina Allaudin Jiwa-Thomas, RPH
• John and Sandra Ruocco DDS PA
• Catherine Ireland Johnson, MS, OTR/L
• K. Jasinski, D.M.D., P.C.
• K. Jasinski, D.M.D., P.C.
• Anna Nicole Kantsios, LMFT
• Elizabeth Weaver Karpiel, MSP, CCC-SLP
• Allison Grace Keller, HIS
• Kristin Danielle Keller
• Kendall Ann Kennedy, DPT

• Clinical Social Worker in Waxhaw, NC
• Providers in Waxhaw, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2014; 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.