Individual provider Active NPI

Daisy Dawoon Ko, LMHC

  • Mental Health Counselor
  • Liverpool, NY
National Provider Identifier
1194443689
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
012609-01 Issued in NY
Practice address
23 Town Garden Dr Apt 8
Liverpool, NY 13088-5589
Phone
(714) 334-0915
NPI assigned
Aug 19, 2022
Last updated
Aug 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 012609-01 NY Primary

Addresses

Primary practice location

23 Town Garden Dr Apt 8
Liverpool, NY 13088-5589

Mailing address

23 Town Garden Dr Apt 8
Liverpool, NY 13088-5589

Other identifiers 1

IdentifierTypeStateIssuer
012609-01OtherNY OFFICE OF PROFESSION

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://sigmund.headway.co/ Health Information Exchange (HIE)

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

NPI Registry JSON

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

{
    "created_epoch": "1660867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1194443689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 TOWN GARDEN DR APT 8",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130885589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 TOWN GARDEN DR APT 8",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130885589",
            "telephone_number": "714-334-0915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KO",
        "first_name": "DAISY",
        "middle_name": "DAWOON",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-19",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "012609-01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY OFFICE OF PROFESSION",
            "identifier": "012609-01",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://sigmund.headway.co/",
            "affiliation": "N",
            "endpointDescription": "online network for therapists",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "23 Town Garden Dr Apt 8",
            "city": "Liverpool",
            "state": "NY",
            "country_code": "US",
            "postal_code": "130885589",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Liverpool, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; 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.