Terry Kouris

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

LISAC-11367 Issued in AZ

Practice address

11225 N 28TH Dr
Suite a-101
Phoenix, AZ 85029-5606

Phone

(602) 374-8267

Fax

(702) 664-6719

NPI assigned

Jan 28, 2016

Sex

Female

Sole proprietor

No

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

Practice roles

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

• Come Unto Me Behavioral Health, Inc

  • Community/Behavioral Health Agency
  • Phoenix, AZ
  • NPI 1790187318
  NPD (past)
• Phoenix Oasis Recovery Homes Inc.

  • Substance Abuse Rehabilitation Facility
  • Phoenix, AZ
  • NPI 1205380730
  NPD (past)

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

{
    "created_epoch": "1453939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453939200000",
    "number": "1922465459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11225 N 28TH DR",
            "address_2": "SUITE A-101",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850295606",
            "telephone_number": "602-374-8267",
            "fax_number": "702-664-6719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11225 N 28TH DR",
            "address_2": "SUITE A-101",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850295606",
            "telephone_number": "602-374-8267",
            "fax_number": "702-664-6719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOURIS",
        "first_name": "TERRY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-28",
        "last_updated": "2016-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "LISAC-11367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tony Kottoor, DPT
• Mahesh M Kotwal, MD
• Lynnette Kounkel, CRNA
• Edwar Kounsselie
• Sandeep Kour
• Paulette L Kourouma, DO
• Sarang Srivathsan Koushik, M.D.
• Emily Jo Kouten, BSN, RN
• Stacy Koutrakos, PSY.D.
• Aaron Kovac, D.C.

• Addiction (Substance Use Disorder) Counselor in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Addiction (Substance Use Disorder) Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2016; 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.