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ANDREA KOUTRAS LLMSW
NPI 1013302504
Social Worker - Clinical in Saginaw, MI

Active since April 01, 2015PECOS EnrolledAccepts Medicare Assignment
85.83/100
CMS Quality Rating
3201 HALLMARK CT, SAGINAW, MI 48603(989) 746-7500(989) 746-4658 Get Directions Write a Review

NPPES record last updated: February 23, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 23, 2022, May 14, 2019 (2 updates tracked since 2019).

About Andrea Koutras Llmsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDREA KOUTRAS LLMSW (NPI 1013302504) is an individual clinical provider in Saginaw, Michigan, licensed in Michigan (L697018) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Midland, and is a graduate of Michigan State University College Of Human Medicine (2014).

NPPES Registry Identity

NPI1013302504
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameANDREA KOUTRASCredential: LLMSW
Location Address3201 HALLMARK CTSaginaw, MI 48603-2109
Mailing Address1000 Houghton AveSaginaw, MI 48602-5303 · (989) 746-7500 · Fax (989) 746-4658
Phone(989) 746-7500
Fax(989) 746-4658
Sole ProprietorYes
Medical School CMSMichigan State University College Of Human MedicineGraduated 2014
Enumeration DateApril 1, 2015
Last NPPES UpdateFebruary 23, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 23, 2022
✔ NPI 1013302504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MI · L697018
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
3201 HALLMARK CT, Saginaw, MI 48603
Open in Google Maps ↗

Secondary Practice Location 1

Location 11714 Eastman AveMidland, MI 48640-4216 · Phone (989) 631-5390

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Andrea Koutras Llmsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID42553794
PECOS Enrollment IDI20190520002747
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
94 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48603 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.34 – $166.68
Typical copayment $0.00 (range $13.58 – $41.67)
Most-billed visit code NA
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85.83/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.73
Promoting Interoperability82
Improvement Activities40
Cost64.93

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAGINAW COOPERATIVE HOSPITALS, INC
Psychiatry & Neurology (Psychiatry)
3201 HALLMARK CT
SAGINAW, MI 48603
Saginaw County (989) 746-7500
CARMEN VARTANIAN MD
Psychiatry & Neurology (Psychiatry)
3201 HALLMARK CT
SAGINAW, MI 48603
Saginaw County (989) 746-7500
DR. LORRIE KIRSTEN GARCES M.D.
Psychiatry & Neurology (Psychiatry)
3201 HALLMARK CT
SAGINAW, MI 48603
Saginaw County (989) 790-5990
DR. KAYLEIGH ANNE WATSON MD
Psychiatry & Neurology (Psychiatry)
3201 HALLMARK CT
SAGINAW, MI 48603
Saginaw County (989) 746-7500
ELIZABETH SUZANNE HERNDEN FNP-BC
Clinical Nurse Specialist (Psychiatric/Mental Health)
3201 HALLMARK CT
SAGINAW, MI 48603
Saginaw County (989) 790-5990
DR. SHAI MOSHE BROSH PHD
Psychologist (Clinical)
3201 HALLMARK CT
SAGINAW, MI 48603
Saginaw County (989) 790-5990
ASIF HAYAT KHAN M.D.
Psychiatry & Neurology (Psychiatry)
3201 HALLMARK CT
SAGINAW, MI 48603
Saginaw County (989) 790-5990
YOUSIF KESSAR TAWADROS DO
Psychiatry & Neurology (Psychiatry)
3201 HALLMARK CT
SAGINAW, MI 48603
Saginaw County (989) 790-5990

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrea Koutras's NPI number?

The NPI number for Andrea Koutras is 1013302504. It was assigned to this individual provider in the NPPES registry on April 1, 2015.

Where is Andrea Koutras located?

Andrea Koutras practices at 3201 Hallmark Ct, Saginaw, MI 48603. The listed phone number is (989) 746-7500.

What is Andrea Koutras's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Andrea Koutras enrolled in Medicare?

Yes. Andrea Koutras is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Andrea Koutras accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 4 other insurers list Andrea Koutras as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Andrea Koutras was last updated on February 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.