Mary Koehl, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LCSW-11595 Issued in AZ

Practice address

1715 W Desperado Way
Phoenix, AZ 85085-6329

Phone

(602) 292-2872

NPI assigned

Mar 26, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395878400000",
    "number": "1003933698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 W DESPERADO WAY",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850856329",
            "telephone_number": "602-292-2872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 W DESPERADO WAY",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850856329",
            "telephone_number": "602-292-2872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOEHL",
        "first_name": "MARY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2014-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LCSW-11595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Louise Kock, RN
• Betsy Kocsis, R.N., M.S.N.
• Rahul G Kode, DDS
• Kody Medical PC
• Logan Kodysz, NP
• Katherine Koehler
• Lindsay Koehler
• Monika Koehler
• Treston Scott Koehler
• Genna Nicole Koehn, DO

• Mental Health Counselor in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Mental Health Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.