William Joseph Kolodinsky Jr., PHD, AZ LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

10354 Issued in AZ

Practice address

1016 W University Ave Ste 221
Flagstaff, AZ 86001-2997

Phone

(928) 246-9813

NPI assigned

Mar 20, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1679270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679270400000",
    "number": "1124720602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3110 W SHANNON DR",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860011086",
            "telephone_number": "928-246-9813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 W UNIVERSITY AVE STE 221",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860012997",
            "telephone_number": "928-246-9813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLODINSKY",
        "first_name": "WILLIAM",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PHD, AZ LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-20",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "10354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kara Christine Koenitzer Tate, P.T., D.P.T.
• Toni Zeller Kohlbeck, M.S., CCC-SLP
• Andres Enrique Kohler, RN
• Joseph Kohout, FNP-C
• Kristi Beth Kolek, PA
• Alexander A Kon, MD
• Christopher Joseph Konradi, PHARM.D.
• Lexi Taylor Kortsen, OD
• Jennifer J. Kottra, M.D.
• Scott Lawrence Krankkala, PA-C

• Mental Health Counselor in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Mental Health Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; 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.