Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jasmine Koussa, LPC

Individual provider Mental Health Counselor · NPI 1710748017

Jasmine Koussa, LPC is a Mental Health Counselor in Shelby Twp, Michigan. Practices as a sole proprietor and works from 2 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2024
Specialties on file
2
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

47818 Van Dyke Ave
Shelby Twp, MI 48317-3373
Phone: (586) 323-3620
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 127 N Lafayette St, South Lyon, MI 48178-1210 — (248) 573-7417

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 6401226255 (MI)
Mental Health Counselor Taxonomy 101YM0800X · Licence 6401226255 (MI)

Record details

NPI number1710748017
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorYes
NPI enumeratedJanuary 23, 2024
Last updated in NPPESAugust 3, 2026
Certification dateAugust 3, 2026
Mailing address47818 Van Dyke Ave, Shelby Twp, MI 48317-3373

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