JASMINE KOUSSA LPC
NPI 1710748017
Counselor - Professional in Shelby Twp, MI
About Jasmine Koussa Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JASMINE KOUSSA LPC (NPI 1710748017) is an individual professional provider in Shelby Twp, Michigan, licensed in Michigan (6401226255) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS and maintains a secondary practice location in South Lyon.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted 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)
Jasmine Koussa Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
SHELBY TWP, MI 48317
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 Jasmine Koussa's NPI number?
The NPI number for Jasmine Koussa is 1710748017. It was assigned to this individual provider in the NPPES registry on January 23, 2024.
Where is Jasmine Koussa located?
Jasmine Koussa practices at 47818 Van Dyke Ave, Shelby Twp, MI 48317. The listed phone number is (586) 323-3620.
What is Jasmine Koussa's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Jasmine Koussa enrolled in Medicare?
Yes. Jasmine Koussa is registered in the Medicare PECOS enrollment system.
What insurance does Jasmine Koussa accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and McLaren Health Plan Community list Jasmine Koussa 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 Jasmine Koussa was last updated on August 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 34 days 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.
# Jasmine Koussa, LPC · NPI 1710748017
Professional provider in Shelby Twp, Michigan. Individual provider, active in the CMS NPPES registry since January 23, 2024.
## Identity
- **NPI:** 1710748017 (Entity type: Individual)
- **Enumerated:** January 23, 2024
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 6401226255 (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 47818 VAN DYKE AVE, Shelby Twp, MI 48317-3373
- **Phone:** (586) 323-3620
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
## Record status
- **NPPES last updated:** August 3, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1710748017) · Data from the CMS NPPES public registry.