Koinonia Baptist Church

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

KOINONIA BAPTIST CHURCH

Practice address

2455 SE Green Oaks Blvd
Arlington, TX 76018-1970

Phone

(817) 466-8211

NPI assigned

May 7, 2019

Organization subpart

No

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

Authorized official

Name

Natalie Nichole Dyer, LPC

Title

Director

Phone

(972) 977-5974

Specialties & licenses 1

Addresses

Other names 1

• Koinonia Christian Counseling Other name

Locations

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

{
    "created_epoch": "1557187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557187200000",
    "number": "1104481902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2455 SE GREEN OAKS BLVD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760181970",
            "telephone_number": "817-466-8211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2455 SE GREEN OAKS BLVD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760181970",
            "telephone_number": "817-466-8211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOINONIA BAPTIST CHURCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-07",
        "last_updated": "2019-05-07",
        "status": "A",
        "authorized_official_last_name": "DYER",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_middle_name": "NICHOLE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "972-977-5974",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Koinonia Christian Counseling",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Daniel Kocurek, MD
• Matthew Arthur Koehler, DDS
• Chee M Koh, ABO
• Kohler Homecare Pharmacy, Inc.
• Micala Kohler, LMFT-A
• Kol Health PLLC
• Izora Kolic, RBT
• Carter Leigh Kolodny, DDS
• Saidatu Komolafe
• Chandana Konduru, M.D.

• Mental Health Counselor in Arlington, TX
• Providers in Arlington, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.

Verify at the official NPI Registry.