MARK KOENIG (NPI# 1952756819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952756819 |
| Entity Type | Individual |
| Full Name | MARK KOENIG |
| Practice Address |
2180 Johnson Ave 2nd Floor San Luis Obispo CA 93401-4513 |
| Mailing Address |
4527 San Jacinto Ave Atascadero CA 93422-3021 |
| Practice Telephone | 8057814100 |
| Enumeration Date | 2016-04-28 |
| Last Update Date | 2016-04-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831252964 | Mark Alan Koenig | Family Medicine | 765 Route 25a Ste 6, Miller Place, NY 11764-2649 | 2006-12-19 |
| 1811482797 | Mark Koenig | Physical Therapist | 14330 Oakhill Park Ln Ste 115, Huntersville, NC 28078 | 2018-06-25 |
| 1376826438 | Mark Koenig | Pharmacist | 3 Freetown Rd, Raymond, NH 03077-2394 | 2011-09-26 |
| 1588841969 | Mark Dieter Koenig | Emergency Medicine | 200 W Arbor Dr, San Diego, CA 92103-9001 | 2008-01-28 |
| 1215073101 | Mark Alan Koenig | Counselor | 742 Massachusetts Ave, Arlington, MA 02474 | 2007-01-29 |
| 1679637193 | Mark D Koenig | Case Manager/Care Coordinator | 2600 W 9th St, Chester, PA 19013-2040 | 2006-12-20 |
| 1770521502 | Mark Koenig | Internal Medicine | 4230 Harding Rd, Suite 330, Nashville, TN 37205 | 2006-06-03 |
| 1033112214 | Mark A Koenig | Pediatrics | 604 Epsilon Dr, Pittsburgh, PA 15238-2808 | 2005-05-23 |
| Street Address |
2180 JOHNSON AVE 2ND FLOOR |
| City | SAN LUIS OBISPO |
| State | CA |
| Zip Code | 93401-4513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366463879 | Robert D Henretig | Radiology | 2180 Johnson Ave, Ste A, San Luis Obispo, CA 93401-4513 | 2006-07-21 |
| 1043819352 | Douglas Gregory Elterman | Case Manager/Care Coordinator | 2180 Johnson Ave, San Luis Obispo, CA 93401-4558 | 2020-10-19 |
| 1265045439 | Mai Timberlake | Student in an Organized Health Care Education/Training Program | 2180 Johnson Ave, San Luis Obispo, CA 93401-4558 | 2020-08-27 |
| 1427669787 | Christie Terese Castro | Case Manager/Care Coordinator | 2180 Johnson Ave, San Luis Obispo, CA 93401-4558 | 2020-08-11 |
| 1538792452 | Robyn Michelle Taylor | Community Health Worker | 2180 Johnson Ave, San Luis Obispo, CA 93401-4558 | 2020-02-19 |
| 1003448754 | Jene Nicole Hinton-railsback | Counselor | 2180 Johnson Ave, San Luis Obispo, CA 93401-4558 | 2020-02-11 |
| 1962046359 | Emilie M Crist | Case Manager/Care Coordinator | 2180 Johnson Ave, San Luis Obispo, CA 93401-4558 | 2019-10-29 |
| 1841833027 | Melanie Ruth Vann | Social Worker | 2180 Johnson Ave, San Luis Obispo, CA 93401-4558 | 2019-10-21 |
| 1548802622 | Christina Lynn Rivera | Case Manager/Care Coordinator | 2180 Johnson Ave, San Luis Obispo, CA 93401-4558 | 2019-10-10 |
| 1265087035 | Amber Deem | Community Health Worker | 2180 Johnson Ave, San Luis Obispo, CA 93401-4558 | 2019-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497228399 | Barbara Jean Morrow | Dental Hygienist | 2191 Johnson Avenue, San Luis Obispo, CA 93401 | 2019-01-03 |
| 1104307743 | Griffith Jennings | Counselor | 1225 Kendal Rd, San Luis Obispo, CA 93401 | 2018-08-22 |
| 1124518808 | Joy L Delaluna | Licensed Psychiatric Technician | 692 Evens Rd, San Luis Obispo, CA 93401 | 2018-05-17 |
| 1982192084 | Sierra Mental Wellness Group | Community/Behavioral Health | 2180 B Johnson Avenue, San Luis Obispo, CA 93401 | 2018-04-25 |
| 1326554403 | Veronica Chanel Laguna | Case Manager/Care Coordinator | 1065 Kansas Ave., San Luis Obispo, CA 93401 | 2017-12-27 |
| 1043739782 | Janette Lynn Branca | Case Manager/Care Coordinator | 285 South Street, Suit J, San Louis Obispo, CA 93401 | 2017-09-13 |
| 1588194104 | Adv Vision LLC | Optometrist | 835 Aero Vista Pl, #110, San Luis Obispo, CA 93401 | 2017-06-15 |
| 1508395880 | Samantha Clay | Counselor | 1255 Kendall Road, San Luis Obispo, CA 93401 | 2017-06-08 |
| 1659804771 | Sara Anne Powers | Counselor | 697 Higuera Street D, San Luis Obispo, CA 93401 | 2017-04-05 |
| 1508306010 | Russell Piazza | Pharmacist | 873 Ricardo Court, San Luis Obispo, CA 93401 | 2017-03-02 |
| Find all providers in zip 93401 | ||||
| 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 |
|---|---|---|---|---|
| 1023636859 | Gemi Bertran | Counselor | 668 Marsh St Ste 9, San Luis Obispo, CA 93401-3931 | 2020-07-08 |
| 1609430701 | Hallelujah Aimee Adams | Counselor | 641 Higuera St Ste 202, San Luis Obispo, CA 93401-0508 | 2019-04-24 |
| 1730657842 | Jason Carr | Counselor | 955 Monterey St, San Luis Obispo, CA 93401-3259 | 2018-11-06 |
| 1730670738 | Venessa Monique Andrade | Counselor | 2178 Johnson Ave # 93401, San Luis Obispo, CA 93401-4535 | 2018-05-24 |
| 1528561735 | Kardell Eugene | Counselor | 2178 Johnson Ave Ste 2, San Luis Obispo, CA 93401-4535 | 2018-03-14 |
| 1659804771 | Sara Anne Powers | Counselor | 697 Higuera Street D, San Luis Obispo, CA 93401 | 2017-04-05 |
| 1568844843 | Ryan Julie Perisho | Counselor | 51 Zaca Ln, San Luis Obispo, CA 93401-7399 | 2015-06-23 |
| 1568771855 | Stephanie Rose Valliere | Counselor | 894 Meinecke Ave Ste D, San Luis Obispo, CA 93405-3700 | 2010-10-04 |
| 1417283573 | Linda Louise Quesenberry | Counselor | 227 South St, San Luis Obispo, CA 93401 | 2009-10-26 |
| 1386829174 | Transitions - Mental Health Association | Counselor | 1306 Nipomo St, San Luis Obispo, CA 93401-3935 | 2007-12-31 |
| Find all providers in SAN LUIS OBISPO | ||||
| City | SAN LUIS OBISPO |
| Zip Code | 93401 |
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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.