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MR. GUY ANTHONY KOUTOUVIDIS MSW, LCSW
NPI 1609941814
Social Worker - Clinical in Port Jefferson, NY

Active since November 22, 2006PECOS Enrolled
14 E BROADWAY, SUITE 2, PORT JEFFERSON, NY 11777(631) 642-9525(631) 642-9525 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Guy Anthony Koutouvidis Msw, Lcsw NPPES

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

MR. GUY ANTHONY KOUTOUVIDIS MSW, LCSW (NPI 1609941814) is an individual clinical provider in Port Jefferson, New York, licensed in New York (R052825-1) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609941814
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. GUY ANTHONY KOUTOUVIDISCredential: MSW, LCSW
Location Address14 E BROADWAY, SUITE 2Port Jefferson, NY 11777-1400
Mailing Address4 Olivia DrPort Jefferson Station, NY 11776-4470 · (631) 474-2162
Phone(631) 642-9525
Fax(631) 642-9525
Sole ProprietorYes
Enumeration DateNovember 22, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1609941814 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 NY · R052825-1
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.
14 E BROADWAY, Port Jefferson, NY 11777
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Other Identifiers 1

Medicare ID-Type UnspecifiedN2G421NY · Clinical Social Worker

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Guy Anthony Koutouvidis Msw, Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11777 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 $67.40 – $203.53
Typical copayment $0.00 (range $16.85 – $50.88)
Most-billed visit code NA
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

Other Providers at the Same Location NPPES 3

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

MRS. PAULA ANN LIEBERMAN LCSW
Social Worker (Clinical)
14 E BROADWAY
PORT JEFFERSON, NY 11777
Suffolk County (631) 473-7492
DOROTHY MARIE LILLY RLCSW
Social Worker (Clinical)
14 E BROADWAY
PORT JEFFERSON, NY 11777
Suffolk County (631) 689-1141
MRS. SHARON LYN ZARIELLO LCSW
Counselor (Professional)
14 E BROADWAY
PORT JEFFERSON, NY 11777
Suffolk County (631) 642-9525

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 Guy Koutouvidis's NPI number?

The NPI number for Guy Koutouvidis is 1609941814. It was assigned to this individual provider in the NPPES registry on November 22, 2006.

Where is Guy Koutouvidis located?

Guy Koutouvidis practices at 14 E Broadway Suite 2, Port Jefferson, NY 11777. The listed phone number is (631) 642-9525.

What is Guy Koutouvidis's specialty?

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

Is Guy Koutouvidis enrolled in Medicare?

Yes. Guy Koutouvidis is registered in the Medicare PECOS enrollment system.

What insurance does Guy Koutouvidis accept?

Health plans from Providence Health Plan list Guy Koutouvidis 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 Guy Koutouvidis was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.