Joann Koester, LCPC
Individual provider Active NPI Mental Health Counselor · Meridian, ID
NPI 1114196623 · NPPES record last updated Aug 12, 2022
Key facts
- NPI
- 1114196623
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- LCPC206 (ID)
- Practice address
- 2498 N. Stokesberry PL.
Suite 180
Meridian, ID 83646 - Phone
- (208) 403-7488
- Fax
- (208) 529-1960
- NPI assigned
- Feb 28, 2008
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCPC206 | ID | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Active Change Center, LLC | Mental Health | Current |
Accepting new patients |
Locations
2498 N Stokesberry Pl
Ste 180
Meridian, ID 83646
Phone (208) 403-7488
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LCPC206 | ID | Yes |
Addresses
Primary practice location
2498 N. Stokesberry PL.
Suite 180
Meridian, ID 83646
Mailing address
P.O. Box 409
Meridian, ID 83680-0409
Phone (208) 403-7488
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 806472900 | Medicaid | ID |
Other providers in Meridian, ID
- Alissa Knott
- Byron D Knowles
- Clark U Knowlton
- Kim Christopher Knudson
- Rachael Marie Knuteson
- Logan Ryan Kohler
- Melissa Misao Komoda
- Eric Konkel
- Gary Koopman
- Brent D. Kooy
All providers in Meridian, ID · Mental Health Counselor in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 12, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.