Individual provider Active NPI

Selena Coumanis Cox

  • Clinical Social Worker
  • Agana Heights, GU
National Provider Identifier
1952722019
Registry record updated Dec 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS26003 Issued in CA
Practice address
498 Chalan Palasyo
Agana Heights, GU 96910-6427
Phone
(671) 486-6680
NPI assigned
Dec 16, 2013
Last updated
Dec 16, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCS26003 CA Primary

Addresses

Primary practice location

498 Chalan Palasyo
Agana Heights, GU 96910-6427

Mailing address

498 Chalan Palasyo
Agana Heights, GU 96910-6427
Phone (671) 486-6680

Other names 1

  • Destiny Selena Coumanis Former 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
LCS26003CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1387152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387152000000",
    "number": "1952722019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "498 CHALAN PALASYO",
            "city": "AGANA HEIGHTS",
            "state": "GU",
            "postal_code": "969106427",
            "telephone_number": "671-486-6680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "498 CHALAN PALASYO",
            "city": "AGANA HEIGHTS",
            "state": "GU",
            "postal_code": "969106427",
            "telephone_number": "671-486-6680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COX",
        "first_name": "SELENA",
        "middle_name": "COUMANIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-16",
        "last_updated": "2013-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS26003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DESTINY",
            "last_name": "COUMANIS",
            "middle_name": "SELENA",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Agana Heights, GU

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2013; 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.