BRIAN KOELEWYN (NPI# 1306227475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306227475 |
| Entity Type | Individual |
| Full Name | BRIAN KOELEWYN |
| Credential | LMHC |
| Practice Address |
1217 Highway 10 W Orange City IA 51041-1500 |
| Mailing Address |
1217 Highway 10 W Po Box 258 Orange City IA 51041-1500 |
| Practice Telephone | 7127079222 |
| Practice Fax Number | 7127079220 |
| Mailing Telephone | 7127079222 |
| Mailing Fax Number | 7127079220 |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2015-06-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
076876 | IA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0402728 | 05 |
| Street Address |
1217 HIGHWAY 10 W |
| City | ORANGE CITY |
| State | IA |
| Zip Code | 51041-1500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215286448 | Briana Elise Van Der Zwaag | Social Worker | 1217 Highway 10 W, Orange City, IA 51041-1500 | 2012-09-04 |
| 1588208565 | Lisa J. Smith | Social Worker | 1217 Highway 10 W, Orange City, IA 51041-1500 | 2019-11-01 |
| 1891272241 | Jennie Karnish | Counselor | 1217 Highway 10 W, Orange City, IA 51041-1500 | 2018-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356451421 | Kurtis David Korver | Otolaryngology | 700 Juneau Ave Se, Orange City, IA 51041 | 2006-08-30 |
| 1356455414 | Hometown Businesses Inc. | Pharmacy | 512 8th St Se, Orange City, IA 51041 | 2006-08-18 |
| 1346206158 | Christian Thor Fisher | Nurse Anesthetist, Certified Registered | 1000 Lincoln Circle Se, Orange City, IA 51041 | 2006-04-21 |
| 1629030457 | David L Gohman Od Inc | Optometrist | 110 2nd St Nw, Orange City, IA 51041 | 2006-04-05 |
| 1891044921 | Sarah Louise Raak | Chiropractor | 721 8th St Se, Orange City, IA 51041 | 2012-09-05 |
| 1174820211 | Lindsey Wise | Physical Therapy Assistant | 1000 Lincoln Circle Se, Orange City, IA 51041 | 2011-02-25 |
| 1376793398 | Ryan S Mcclendon | Nurse Anesthetist, Certified Registered | 1000 Lincoln Cir Se, Orange City, IA 51041 | 2008-09-26 |
| 1013987007 | Orange City Municipal Hospital | Skilled Nursing Facility | 1005 7th St Ne, Orange City, IA 51041-1183 | 2006-01-24 |
| 1952947129 | Heidi Jo Hoisington | Occupational Therapist | 1007 7th St Ne, Orange City, IA 51041-1190 | 2019-11-22 |
| 1063513927 | All Care Medical Equipment | Durable Medical Equipment & Medical Supplies | 109 3rd St Ne, Orange City, IA 51041-1301 | 2006-09-25 |
| Find all providers in zip 51041 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780146100 | Veronica Petkus, LLC | Counselor | 418 Treemont Dr, Orange City, FL 32763-7978 | 2019-04-03 |
| 1285124552 | Elizabeth Vada Williams | Counselor | 604 N Volusia Ave, Orange City, FL 32763-4804 | 2018-05-13 |
| 1134530934 | Veronica Faye Petkus | Counselor | 418 Treemonte Dr, Orange City, FL 32763-7978 | 2014-05-14 |
| 1073933479 | Nudawn LLC | Counselor | 1610 14th St, Orange City, FL 32763-3116 | 2014-04-24 |
| 1609207216 | David A Spellman | Counselor | 265 E Graves Ave, Orange City, FL 32763-5213 | 2013-12-07 |
| 1326473281 | Cindy L Nelson | Counselor | 366 E Graves Ave Ste D, Orange City, FL 32763-5266 | 2013-09-11 |
| 1962619528 | Michele Ann Langrick | Counselor | 582 N Volusia Ave, Orange City, FL 32763-4802 | 2007-05-16 |
| 1386718856 | Lynne Gail Frease Mcmahan | Counselor | 400 Central Ave Nw Ste 1300, Orange City, IA 51041-1331 | 2006-11-17 |
| 1942780127 | Heather M Spaan | Counselor | 111 Arizona Ave Nw, Orange City, IA 51041-1425 | 2018-08-17 |
| 1891272241 | Jennie Karnish | Counselor | 1217 Highway 10 W, Orange City, IA 51041-1500 | 2018-07-27 |
| Find all providers in ORANGE CITY | ||||
| City | ORANGE CITY |
| Zip Code | 51041 |
Please comment or provide details below to improve the information on BRIAN KOELEWYN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.