KOON COUNSELING SERVICES LMSW, P.C. (NPI# 1336676469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336676469 |
| Entity Type | Organization |
| Organization Name | KOON COUNSELING SERVICES LMSW, P.C. |
| Practice Address |
317 W 1st St Ste 112 Oswego NY 13126-3678 |
| Mailing Address |
208 Easterly Ter De Witt NY 13214-2316 |
| Practice Telephone | 3150216068 |
| Enumeration Date | 2017-05-19 |
| Last Update Date | 2017-05-19 |
| Authorized Official Name | JENNIFER KOON (OWNER) |
| Authorized Official Telephone | 3154304070 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| 0000000 | 0000000 | 01 |
| Street Address |
317 W 1ST ST STE 112 |
| City | OSWEGO |
| State | NY |
| Zip Code | 13126-3678 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063054070 | Karen Donohue Hoffman | Social Worker | 317 W 1st St Ste 112, Oswego, NY 13126-3678 | 2019-10-10 |
| 1346742269 | Amy Orr Lmsw Counseling Services | Social Worker | 317 W 1st St Ste 112, Oswego, NY 13126-3678 | 2018-03-07 |
| 1104328376 | Amy J Orr | Social Worker | 317 W 1st St Ste 112, Oswego, NY 13126-3678 | 2018-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303572 | Elise Fitzsimmons | Specialist/Technologist | 9 Laker Hall, Oswego, NY 13126 | 2020-10-15 |
| 1023651742 | Jessica Lynn Metzger | Physician Assistant | 300 Ny-104 Suite 1, Oswego, NY 13126 | 2019-10-25 |
| 1245887009 | Maureen Adams | Technician | 30 Stone Ridge Drive, Oswego, NY 13126 | 2019-08-26 |
| 1285128314 | Justin Raymond Beebe | Nurse Practitioner | 300 State Route 104 Ste 2, Oswego, NY 13126 | 2018-06-21 |
| 1801311220 | Lynne M Wallace | Registered Nurse | 29 Birch Lane 17b, Oswego, NY 13126 | 2017-08-07 |
| 1497203962 | Lindsay Cheslock | Local Education Agency (LEA) | 529 County Route 25, Oswego, NY 13126 | 2016-09-14 |
| 1942757919 | Aimee Devinny | Registered Nurse | 21 Twin Orchard Drive, Oswego, NY 13126 | 2016-09-07 |
| 1083160295 | Cameron Delmotte | Specialist | 159 West Frist Street, Oswego, NY 13126 | 2016-08-28 |
| 1508319187 | Samantha Thayer | Occupational Therapist | 159 West First Oswego St, Oswego, NY 13126 | 2016-07-29 |
| 1104279595 | Vikram Jala | Internal Medicine | 105 County Route 45a Ste 400, Oswego, NY 13126 | 2016-07-20 |
| Find all providers in zip 13126 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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| 1073926556 | Creekside Counseling Services | Clinic/Center | 335 W 1st St, Oswego, NY 13126-3655 | 2014-06-03 |
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| 1942807276 | Jason Diana Lmsw | Clinic/Center | 50 West Hawthorne Ave 2nd Floor, Valley Stream, NY 11580 | 2020-10-09 |
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| Find all providers with the same taxonomy | ||||
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| 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.