Active NPI
Ryan Koonce, CDCA, QBHS
- Case Manager/Care Coordinator
- Columbus, OH
National Provider Identifier
1215648159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 636 Canterbury Way
Columbus, OH 43213 - Phone
- (513) 658-4877
- Fax
- (513) 818-9960
- NPI assigned
- Dec 12, 2022
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
636 Canterbury Way
Columbus, OH 43213
Mailing address
636 Canterbury Way
Columbus, OH 43213-2780
Phone (614) 914-8781
Other practice location 1
11134 Luschek Dr
Blue Ash, OH 45241-2434
Phone (513) 827-9273
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 181888 | Other | OH | CDCA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rkoonce@xservices.org | Direct |
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": "1670803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747612800000",
"number": "1215648159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "636 CANTERBURY WAY",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432132780",
"telephone_number": "614-914-8781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "636 CANTERBURY WAY",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "43213",
"telephone_number": "513-658-4877",
"fax_number": "513-818-9960"
}
],
"practiceLocations": [
{
"address_1": "11134 Luschek Dr",
"address_purpose": "LOCATION",
"city": "Blue Ash",
"state": "OH",
"postal_code": "452412434",
"country_code": "US",
"telephone_number": "513-827-9273",
"fax_number": "513-818-9960",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOONCE",
"first_name": "RYAN",
"name_prefix": "Mr.",
"credential": "CDCA, QBHS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-12-12",
"last_updated": "2025-05-19",
"certification_date": "2025-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDCA",
"identifier": "181888",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rkoonce@xservices.org",
"affiliation": "N",
"endpointDescription": "work email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "11134 Luschek Dr",
"city": "Blue Ash",
"state": "OH",
"country_code": "US",
"postal_code": "452412434",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.