Lissa Jenat Koenig

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

1915 Placer St
Redding, CA 96001-1734

Phone

(530) 232-1834

NPI assigned

Mar 20, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Adrienne M. Silva

  • Behavior Analyst
  • San Clemente, CA
  • NPI 1275990079
  NPD (past)

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

{
    "created_epoch": "1553040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1285194993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 CALLE FRONTERA",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926733009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 PLACER ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960011734",
            "telephone_number": "530-232-1834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOENIG",
        "first_name": "LISSA",
        "middle_name": "JENAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-20",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "10120",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Malinda Kay Knowles, NP
• Charity Jane Knox, NP
• Thomas James Knutson, MD
• Pieter Jacobus Koekemoer, RPH
• Kenneth S Koenig, M.D.
• Yolanda Koenig
• Alyson Reynolds Kohl, MFT
• Vahini L Koka, DO
• Sussan Kokinda
• Sri Deepa Kolathupalayam Srinivasan, MD

• Case Manager/Care Coordinator in Redding, CA
• Providers in Redding, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; 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.