Organization Active NPI

Traci Koen, LPC-S, PLLC

Doing business as BrightWay Counseling and Wellness

  • Mental Health Counselor
  • Plano, TX
National Provider Identifier
1194261701
Registry record updated Jan 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
63092 Issued in TX
Legal business name
TRACI KOEN, LPC-S, PLLC
Doing business as
BrightWay Counseling and Wellness
Practice address
5601 Democracy Dr
Suite 135
Plano, TX 75024-3687
Phone
(214) 478-0314
NPI assigned
Jan 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2017

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

Authorized official

Name
Mrs. Traci D. Koen, LPC-S, NCCNPI 1508149758
Title
Owner, Therapist
Phone
(214) 478-0314

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 63092 TX Primary

Addresses

Primary practice location

5601 Democracy Dr
Suite 135
Plano, TX 75024-3687

Mailing address

2020 Crown Knoll LN
Plano, TX 75093-4101
Phone (214) 478-0314

Other names 1

  • BrightWay Counseling and Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

5601 Democracy Dr
Ste 135
Plano, TX 75024
Phone (214) 223-4589

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1483660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483660800000",
    "number": "1194261701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 CROWN KNOLL LN",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934101",
            "telephone_number": "214-478-0314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 DEMOCRACY DR",
            "address_2": "SUITE 135",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243687",
            "telephone_number": "214-478-0314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRACI KOEN, LPC-S, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-06",
        "last_updated": "2017-01-06",
        "status": "A",
        "authorized_official_last_name": "KOEN",
        "authorized_official_first_name": "TRACI",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER, THERAPIST",
        "authorized_official_telephone_number": "214-478-0314",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC-S, NCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "63092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BrightWay Counseling and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2017; 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.