Diana Suzanne Koenen, MA

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC34961 Issued in CA

Practice address

Sun Plaza Business Center
27851 Bradley Rd, Suite 103
Menifee, CA 92586

Phone

(951) 575-8729

NPI assigned

Mar 6, 2007

Sex

Female

Sole proprietor

No

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Grow Healthcare Group PC

  • Mental Health Counselor
  • San Jose, CA
  • NPI 1154994846

  Marriage & Family Therapist

  Medicare reassignment NPD
• Headway California Behavioral Health Services, P.C.

  • Psychiatry Physician
  • New York, NY
  • NPI 1174292866

  CA

  Medicare reassignment NPD
• County of Riverside

  • Community/Behavioral Health Agency
  • Lake Elsinore, CA
  • NPI 1346860210
  NPD (past)

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550534400000",
    "number": "1164552667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 MINTHORN AVE",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "92530",
            "telephone_number": "951-245-3207",
            "fax_number": "951-487-2679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SUN PLAZA BUSINESS CENTER",
            "address_2": "27851 BRADLEY RD, SUITE 103",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "92586",
            "telephone_number": "951-575-8729"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 Minthorn Ave",
            "address_purpose": "LOCATION",
            "city": "Lake Elsinore",
            "state": "CA",
            "postal_code": "92530",
            "country_code": "US",
            "telephone_number": "951-245-3207",
            "fax_number": "951-245-3008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOENEN",
        "first_name": "DIANA",
        "middle_name": "SUZANNE",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2019-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC34961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Malaika Kiongo
• Stephanie Kirk, PA-C
• Lashawn Klos, LMFT
• Anthony Knott
• Lindsay Koellen
• Stephan Antonius Kohnen, D.M.D.
• Raymond Komosinski I, B.S. PHARMACY
• Colleen Koon
• Benjamin Koppel, DDS
• Grzegorz Korzeniowski

• Marriage & Family Therapist in Menifee, CA
• Providers in Menifee, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.