Active NPI
Margaret Lee Koenig, PHD
- Clinical Psychologist
- Hood River, OR
National Provider Identifier
1093862674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1347
- Practice address
- 708 Columbia St
Hood River, OR 97031-1720 - Phone
- (541) 386-2405
- NPI assigned
- Jan 4, 2007
- Last updated
- Jul 30, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1347 | OR | Primary |
Addresses
Primary practice location
708 Columbia St
Hood River, OR 97031-1720
Mailing address
4501 Post Canyon Dr
Hood River, OR 97031-8731
Phone (541) 806-2494
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008503000 | Other | OR | REGENCE BCBS |
| Y838301 | Other | OR | PACIFIC SOURCE |
| 193165 | Other | OR | MANAGED HEALTH NETWORK |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564444800000",
"number": "1093862674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4501 POST CANYON DR",
"city": "HOOD RIVER",
"state": "OR",
"postal_code": "970318731",
"telephone_number": "541-806-2494",
"fax_number": "360-844-5184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "708 COLUMBIA ST",
"city": "HOOD RIVER",
"state": "OR",
"postal_code": "970311720",
"telephone_number": "541-386-2405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOENIG",
"first_name": "MARGARET",
"middle_name": "LEE",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-04",
"last_updated": "2019-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OR",
"license": "1347",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BCBS",
"identifier": "008503000",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PACIFIC SOURCE",
"identifier": "Y838301",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MANAGED HEALTH NETWORK",
"identifier": "193165",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hood River, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.