McKenzie Koering, LISW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

095266 Issued in IA

Practice address

1655 Blairs Ferry Rd
Marion, IA 52302-3157

Phone

(319) 261-2292

NPI assigned

Aug 13, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• McKenzie Grimm Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Covenant Family Solutions, LLC

  • Community/Behavioral Health Agency
  • Cedar Rapids, IA
  • NPI 1407295280
  NPD

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

{
    "created_epoch": "1565654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1023664422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1655 BLAIRS FERRY RD",
            "city": "MARION",
            "state": "IA",
            "postal_code": "523023157",
            "telephone_number": "319-261-2292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 BLAIRS FERRY RD",
            "city": "MARION",
            "state": "IA",
            "postal_code": "523023157",
            "telephone_number": "319-261-2292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOERING",
        "first_name": "MCKENZIE",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-13",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "095266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MCKENZIE",
            "last_name": "GRIMM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kelsey Kiwala, PHARMD
• Vince Andrew Klopfenstein, ATC
• Jennifer Knaack
• Janelle Rowan Koenen, PA-C
• Brian Koeppen, DPT
• Princess Kollie
• Kolofon Health LLC
• Jessica Elise Konarske
• Caitlin Kramer, PHARMD
• David E. Kresnicka, M.D.

• Mental Health Counselor in Marion, IA
• Providers in Marion, IA by specialty
• Mental Health Counselor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; 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.