Nicholas S. Koumos

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

001125 Issued in NY

Practice address

8808 Rockaway Beach Blvd
Rockaway Beach, NY 11693-1608

Phone

(718) 634-8922

Fax

(718) 634-5740

NPI assigned

Mar 29, 2010

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": "1269820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294963200000",
    "number": "1831414283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 PARK AVE",
            "city": "MALVERNE",
            "state": "NY",
            "postal_code": "115651916",
            "telephone_number": "516-596-0452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8808 ROCKAWAY BEACH BLVD",
            "city": "ROCKAWAY BEACH",
            "state": "NY",
            "postal_code": "116931608",
            "telephone_number": "718-634-8922",
            "fax_number": "718-634-5740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOUMOS",
        "first_name": "NICHOLAS",
        "middle_name": "S.",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-29",
        "last_updated": "2011-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "001125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Billette Johnson
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• Valynn Elizabeth Johnson
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• Martin Kohn, R.PH.
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• Mental Health Counselor in Rockaway Beach, NY
• Providers in Rockaway Beach, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2011; 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.