Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

JASMINE KOUSSA
NPI 1710748017
Counselor - Mental Health in Shelby Twp, MI

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

Active since January 23, 2024

47818 VAN DYKE AVE, SHELBY TWP, MI 48317(586) 323-3620 Get Directions Write a Review

NPPES record last updated: July 7, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 7, 2026, May 13, 2026 (2 updates tracked since 2026).

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About Jasmine Koussa NPPES

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

JASMINE KOUSSA (NPI 1710748017) is an individual mental health provider in Shelby Twp, Michigan, licensed in Michigan (6401226255) and active in the NPI registry since January 2024.

NPPES Registry Identity

NPI1710748017

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameJASMINE KOUSSA

Location Address47818 VAN DYKE AVEShelby Twp, MI 48317-3373

Mailing Address47818 Van Dyke AveShelby Twp, MI 48317-3373

Phone(586) 323-3620

Sole ProprietorYes

Enumeration DateJanuary 23, 2024

Last NPPES UpdateJuly 7, 20262 updates tracked since enumeration

NPPES CertifiedJuly 7, 2026

✔ NPI 1710748017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in MI · 6401226255

47818 VAN DYKE AVE, Shelby Twp, MI 48317

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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 ›