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

Tivoli Cousineau, LMFT

Individual provider Marriage & Family Therapist · NPI 1902272156

Tivoli Cousineau, LMFT is a Marriage and Family Therapist in Park City, Utah. Qualified in 2012, 14 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in California and Utah.

Years since qualifying
14
Licensed in
CA, UT
In the registry since
2015
Specialties on file
2
What do these letters mean?
LMFT — Licensed Marriage and Family Therapist
A therapist licensed to treat couples and families.

See every abbreviation used in this directory →

Practice location Address checks out

6640 Old Forest Dr
Park City, UT 84098-5958
Phone: (310) 384-0086
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 10511721-3902 (UT)
Marriage & Family Therapist Taxonomy 106H00000X · Licence 83685 (CA)

Record details

NPI number1902272156
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMFT
Sole proprietorYes
NPI enumeratedAugust 11, 2015
Last updated in NPPESOctober 7, 2025
Certification dateOctober 7, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Park City