Active NPI
Tawnya Kordenbrock, LPCA
- Professional Counselor
- Covington, KY
National Provider Identifier
1124319579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1084
- Practice address
- 3800 Church St.
Covington, KY 41015-0742 - Phone
- (859) 468-7534
- NPI assigned
- Apr 20, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 1084 | KY | Primary |
| Professional Counselor | 101YP2500X | C 0700029 | OH |
Addresses
Primary practice location
3800 Church St.
Covington, KY 41015-0742
Mailing address
PO Box 15742
3800 Church Street
Covington, KY 41015-0742
Phone (859) 468-7534
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 |
|---|---|---|---|
| C 0700029 | OH | MD | Professional Counselor |
| 1084 | KY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303257600000",
"number": "1124319579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 15742",
"address_2": "3800 CHURCH STREET",
"city": "COVINGTON",
"state": "KY",
"postal_code": "410150742",
"telephone_number": "859-468-7534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3800 CHURCH ST.",
"city": "COVINGTON",
"state": "KY",
"postal_code": "410150742",
"telephone_number": "859-468-7534"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KORDENBROCK",
"first_name": "TAWNYA",
"credential": "LPCA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-04-20",
"last_updated": "2011-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "KY",
"license": "1084",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "C 0700029",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Covington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.