Active NPI
Galen Scott Koen
- Addiction (Substance Use Disorder) Counselor
- Ventura, CA
National Provider Identifier
1083228993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 14212
- Practice address
- 955 E Thompson Blvd
Ventura, CA 93001-3008 - Phone
- (805) 641-9001
- Fax
- (805) 641-9040
- NPI assigned
- Sep 8, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 14212 | CA | Primary |
Addresses
Primary practice location
955 E Thompson Blvd
Ventura, CA 93001-3008
Mailing address
443 Occidental Dr Apt 17
Oxnard, CA 93036-2441
Phone (805) 200-9566
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14212 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599523200000",
"number": "1083228993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "443 OCCIDENTAL DR APT 17",
"city": "OXNARD",
"state": "CA",
"postal_code": "930362441",
"telephone_number": "805-200-9566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "955 E THOMPSON BLVD",
"city": "VENTURA",
"state": "CA",
"postal_code": "930013008",
"telephone_number": "805-641-9001",
"fax_number": "805-641-9040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOEN",
"first_name": "GALEN",
"middle_name": "SCOTT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-09-08",
"last_updated": "2020-09-08",
"certification_date": "2020-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "14212",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ventura, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.