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KATRIN LYNN KOUTASSEVITCH
NPI 1548759269
Social Worker - Clinical in Pasadena, CA

Active since May 08, 2018Opted out of Medicare · through Jan 1, 2027
690 E GREEN ST STE 204, PASADENA, CA 91101(626) 795-1519 Get Directions Write a Review

NPPES record last updated: December 7, 2020. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Dec 7, 2020, May 21, 2018, May 8, 2018 (3 updates tracked since 2018).

About Katrin Lynn Koutassevitch NPPES

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

KATRIN LYNN KOUTASSEVITCH (NPI 1548759269) is an individual clinical provider in Pasadena, California, licensed in California (71905) and active in the NPI registry since May 2018. She has opted out of Medicare through January 1, 2027.

NPPES Registry Identity

NPI1548759269
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKATRIN LYNN KOUTASSEVITCH
Location Address690 E GREEN ST STE 204Pasadena, CA 91101-2197
Mailing Address690 E Green St Ste 204Pasadena, CA 91101-2197 · (626) 765-1519 · Fax (626) 765-1519
Phone(626) 795-1519
Sole ProprietorYes
Enumeration DateMay 8, 2018
Last NPPES UpdateDecember 7, 20203 updates tracked since enumeration
NPPES CertifiedDecember 7, 2020
✔ NPI 1548759269 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 CA · 71905
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.
690 E GREEN ST STE 204, Pasadena, CA 91101
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Katrin Lynn Koutassevitch has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2025 through January 1, 2027.

Opt-Out Effective DateJanuary 1, 2025
Opt-Out In Effect ThroughJanuary 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Areas of Expertise CMS Part B claims 2

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.
477 services24 patients
Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
16 services12 patients

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 Katrin Koutassevitch's NPI number?

The NPI number for Katrin Koutassevitch is 1548759269. It was assigned to this individual provider in the NPPES registry on May 8, 2018.

Where is Katrin Koutassevitch located?

Katrin Koutassevitch practices at 690 E Green St Ste 204, Pasadena, CA 91101. The listed phone number is (626) 795-1519.

What is Katrin Koutassevitch's specialty?

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

Is Katrin Koutassevitch enrolled in Medicare?

No. Katrin Koutassevitch has opted out of Medicare through January 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Katrin Koutassevitch was last updated on December 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.