Soren Koldewyn, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC 37554 Issued in CA

Practice address

6840 Via del Oro
Suite 225
San Jose, CA 95119-1357

Phone

(408) 361-0133

NPI assigned

Jan 16, 2007

Last updated

Sep 14, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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)

Not enrolled

State licenses

Practice roles

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

• LDS Family Services

  dba LDS Family Services CA San Jose

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • San Jose, CA
  • NPI 1457476475
  NPD (past)

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252886400000",
    "number": "1043361942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19145 EAGLE VIEW DR",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "950379045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6840 VIA DEL ORO",
            "address_2": "SUITE 225",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951191357",
            "telephone_number": "408-361-0133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLDEWYN",
        "first_name": "SOREN",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2009-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 37554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Koke
• Marilou Vendiola Kokmeyer, CRNA, MS
• Juliet Koktapeh
• Chelsea Dynea Kolander
• Lindsay B Kolderup, MD
• Vaishnavi Kolli
• Jennifer Kolman, SCHOOL PSYCHOLOGIST
• Steven Michael Kolnes, DDS
• Beverly Koloko-Green
• Jessica Kolte, PA-C

• Marriage & Family Therapist in San Jose, CA
• Providers in San Jose, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2009; 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.