1902226152 NPI number — MRS. LAUREN BEVERLEE KUSI PMHNP

Table of content: MRS. LAUREN BEVERLEE KUSI PMHNP (NPI 1902226152)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1902226152 NPI number — MRS. LAUREN BEVERLEE KUSI PMHNP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KUSI
Provider First Name:
LAUREN
Provider Middle Name:
BEVERLEE
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
PMHNP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
THOMAS
Provider Other First Name:
LAUREN
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1902226152
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/03/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8210 MACEDONIA COMMONS BLVD STE 3B-1096
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MACEDONIA
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
44056-1860
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
877-779-2873
Provider Business Mailing Address Fax Number:
888-505-0251

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8210 MACEDONIA COMMONS
Provider Second Line Business Practice Location Address:
SUITE 3B PMB 1096
Provider Business Practice Location Address City Name:
MACEDONIA
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44056-3640
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
877-779-2873
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/25/2014

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LP0808X , with the licence number:  APRN.CNP.0026733 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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