DR. THEODORA HART KOEHN (NPI# 1407042609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407042609 |
| Entity Type | Individual |
| Full Name | DR. THEODORA HART KOEHN |
| Credential | M.A. AND PSY.D. |
| Practice Address |
17300 Preston Rd Suite 160 Dallas TX 75252-5654 |
| Practice Telephone | 2144354620 |
| Mailing Telephone | 2144354620 |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2007-09-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
19497 | TX | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
PSY21181 | CA | Behavioral Health & Social Service Providers |
| Street Address |
17300 PRESTON RD SUITE 160 |
| City | DALLAS |
| State | TX |
| Zip Code | 75252-5654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154529048 | Barbara Lynn Carr | Social Worker | 17300 Preston Rd, Suite 160, Dallas, TX 75252-5654 | 2007-07-03 |
| 1871859363 | Pam Chin-lai, Inc | Dietitian, Registered | 17300 Preston Rd, Suite 160, Dallas, TX 75252-5654 | 2012-04-09 |
| 1982839098 | Dr. Theodora H. Koehn, P.C. | Counselor | 17300 Preston Rd, Suite 160, Dallas, TX 75252-5654 | 2009-05-18 |
| 1003061151 | Cathey Soutter | Counselor | 17300 Preston Rd, Dallas, TX 75252-5654 | 2008-11-17 |
| 1649460700 | Shani Kelly Romick | Speech-Language Pathologist | 17300 Preston Rd, Ste. 160, Dallas, TX 75252-5654 | 2007-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457914681 | Lashaun Nicole Mwangi | Counselor | 17740 Preston Rd., Suite 100-b, Dallas, TX 75252 | 2019-04-14 |
| 1699244921 | Naomi Silva | Counselor | 18208 Preston Rd. Ste D9-466, Dallas, TX 75252 | 2018-11-15 |
| 1134601560 | Douglas Wayne Barnes | Counselor | 17762 Preston Rd Suite 108, Dallas, TX 75252 | 2018-09-01 |
| 1528548260 | Rhejes Healthcare Services LLC | In Home Supportive Care | 19019 Preston Rd Apt 710, Dallas, TX 75252 | 2018-08-21 |
| 1447759212 | Quadmed Medical Clinics of Texas, P.a. D/b/a Quadmed Medical Grou | Clinic/Center | 17655 Waterview Parkway, Dallas, TX 75252 | 2018-02-07 |
| 1114436862 | Steven Wade Martin | Chiropractor | 17330 Preston Rd., Suite 150a, Dallas, TX 75252 | 2017-09-26 |
| 1053766568 | Helix Health LLC | Clinical Medical Laboratory | 17218 Preston Road, Suite #4200, Dallas, TX 75252 | 2016-05-03 |
| 1144619511 | Bay Crest LLC | Home Health | 18208 Preston Rd Ste 151, Dallas, TX 75252 | 2015-01-22 |
| 1255720579 | Damion P Davis | Counselor | 17210 Campbell Rd, #200, Dallas, TX 75252 | 2015-01-12 |
| 1891109435 | Pediatric Home Healthcare, LLC | Home Health | 17950 Preston Rd # 370, Dallas, TX 75252 | 2014-06-11 |
| Find all providers in zip 75252 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891396313 | On Epiphany Lane, LLC | Counselor | 603 Munger Ave Ste 100, Dallas, TX 75202-1840 | 2020-11-02 |
| 1487253951 | Shanler Leigh Hoover | Counselor | 12800 Hillcrest Rd # A103, Dallas, TX 75230-1524 | 2020-10-25 |
| 1316546385 | Paola Guadalupe Garcia | Counselor | 8338 Midland Ln, Dallas, TX 75217-8850 | 2020-10-21 |
| 1447858378 | Theresa Lashonda Lucie Moody | Counselor | 3653 Briargrove Ln Apt 1036, Dallas, TX 75287-6155 | 2020-10-13 |
| 1609473693 | Donna Smith | Counselor | 3766 Seguin Dr, Dallas, TX 75220-6329 | 2020-10-03 |
| 1659978849 | Brian Williams | Counselor | 75 Log Cabin Dr Apt 821, Dallas, GA 30157-1689 | 2020-10-01 |
| 1285241349 | Nichole Gabrielle Brown | Counselor | 5045 Thunder Rd, Dallas, TX 75244-6546 | 2020-09-23 |
| 1366058588 | Vicki Smith-lockhart | Counselor | 4041 W Wheatland Rd Ste 106, Dallas, TX 75237-4060 | 2020-09-22 |
| 1881206928 | Angela Grace Leach | Counselor | 6511 Walnut Hill Ln, Dallas, TX 75230-5318 | 2020-08-19 |
| 1093324055 | Alita Rose Andrews | Counselor | 3905 Highgrove Dr, Dallas, TX 75220-3753 | 2020-07-27 |
| Find all providers in DALLAS | ||||
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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.