KOINONIA CENTER LLC (NPI# 1760036842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760036842 |
| Entity Type | Organization |
| Organization Name | KOINONIA CENTER LLC |
| Practice Address |
11507 S Keeney Rd Spokane WA 99224-9625 |
| Practice Telephone | 5098502377 |
| Mailing Telephone | 5098502377 |
| Enumeration Date | 2019-07-28 |
| Last Update Date | 2019-07-28 |
| Authorized Official Name | CHRISTI ORTIZ (GOVERNOR) |
| Authorized Official Telephone | 5098502377 |
| Authorized Official Credential | LMFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TH0100X |
Psychologist Specialization: Health Service |
Behavioral Health & Social Service Providers | ||
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| N | 103TC1900X |
Psychologist Specialization: Counseling |
Behavioral Health & Social Service Providers | ||
| N | 101YP1600X |
Counselor Specialization: Pastoral |
Behavioral Health & Social Service Providers | ||
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
Behavioral Health & Social Service Providers | ||
| N | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
11507 S KEENEY RD |
| City | SPOKANE |
| State | WA |
| Zip Code | 99224-9625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467007674 | Fernando Ortiz | Counselor | 11507 S Keeney Rd, Spokane, WA 99224-9625 | 2019-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447711668 | Elizabeth Cynthia Young | Counselor | 8727 Us-2, Spokane, WA 99224 | 2019-03-29 |
| 1528535952 | Mailene Bianca Orozco | Counselor | 11919 Sprague Ave, Airway Heights, WA 99224 | 2018-10-24 |
| 1124519756 | Jai'lysa Hoskins | Counselor | 1700 S Assembly St, Spokane, WA 99224 | 2018-05-18 |
| 1770012171 | John T Messick | Emergency Medical Technician, Basic | 5410 S Osprey Heights Dr, Spokane, WA 99224 | 2017-06-08 |
| 1780130328 | Ashana Kelly | Behavioral Analyst | 5709 West Sunset Hwy #100, Spokane, WA 99224 | 2016-09-01 |
| 1740690247 | Latah Creek Family Dentistry | Dentist | 4001 S Cheney-spokane Rd, Suite B, Spokane, WA 99224 | 2014-05-06 |
| 1265735609 | Kyle Ray Stewart | Massage Therapist | 10620 W12th #335, Spokane, WA 99224 | 2010-12-07 |
| 1285950311 | Katherine Elaine Bunze | Contractor | 809 S Assembly, Spokane, WA 99224 | 2010-04-14 |
| 1801370044 | Joseph Dickens | Social Worker | 1700 S Assembly St Ste 300, Spokane, WA 99224 | 2018-09-24 |
| 1598143489 | Megan Marie Kerby | Behavioral Analyst | 5709 W Sunset Hwy Ste 100, Spokane, WA 99224 | 2015-05-11 |
| Find all providers in zip 99224 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750817 | Nw Family Psychology Rock Pointe | Counselor | 1212 N Washington St Ste 105, Spokane, WA 99201-2441 | 2020-11-03 |
| 1760953384 | Nicole Renee Breesnee | Counselor | 2308 W. 3rd Ave, Spokane, WA 99201 | 2018-12-07 |
| 1396213013 | Alana Rae Nelson | Counselor | 2102 E Sprague Ave # Westwg, Spokane, WA 99202-3125 | 2018-11-12 |
| 1568930378 | Tricia Louise Molloy | Counselor | 711 E 33rd Ave, Spokane, WA 99203-3127 | 2018-11-09 |
| 1982172086 | Nicholas Blaine Nomura Lauderdale | Counselor | 5901 N Lidgerwood St, Suite 115, Spokane, WA 99208-1510 | 2018-11-06 |
| 1548738644 | Collin Ross Keating | Counselor | 505 E North Foothills Dr Ste 300, Spokane, WA 99207-2101 | 2018-11-06 |
| 1275001778 | Craig Allen Hansen | Counselor | 505 E Foothills Dr Ste 300, Spokane, WA 99207-2101 | 2018-11-02 |
| 1831692581 | Rick Kienholz | Counselor | 319 W Hastings Rd Ste A110, Spokane, WA 99218-5021 | 2018-03-08 |
| 1720537475 | Kyle Shane Bailey | Counselor | 5901 N Lidgerwood St Ste 115, Spokane, WA 99208-1122 | 2016-09-22 |
| 1720431059 | Sean P Barrett | Counselor | 705 W 7th Ave Ste 1c, Spokane, WA 99204-2836 | 2016-07-21 |
| Find all providers in SPOKANE | ||||
Please comment or provide details below to improve the information on KOINONIA CENTER LLC.
| 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.