Active NPI
Rachel M. Koenigsberg, C.C.HT.
- Professional Counselor
- Longmont, CO
National Provider Identifier
1306123302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- NLC-6856
- Practice address
- 16 Mountain View Ave.
The Holistic Wellness Center
Longmont, CO 80501-3420 - Phone
- (303) 579-8919
- Fax
- (303) 774-0116
- NPI assigned
- Nov 4, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | NLC-6856 | CO | Primary |
Addresses
Primary practice location
16 Mountain View Ave.
The Holistic Wellness Center
Longmont, CO 80501-3420
Mailing address
16 Mountain View Ave.
The Holistic Wellness Center
Longmont, CO 80501
Phone (303) 579-8919
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NLC-6856 | CO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320364800000",
"number": "1306123302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 MOUNTAIN VIEW AVE.",
"address_2": "THE HOLISTIC WELLNESS CENTER",
"city": "LONGMONT",
"state": "CO",
"postal_code": "80501",
"telephone_number": "303-579-8919",
"fax_number": "303-774-0116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 MOUNTAIN VIEW AVE.",
"address_2": "THE HOLISTIC WELLNESS CENTER",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805013420",
"telephone_number": "303-579-8919",
"fax_number": "303-774-0116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOENIGSBERG",
"first_name": "RACHEL",
"middle_name": "M.",
"name_prefix": "Mrs.",
"credential": "C.C.HT.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-11-04",
"last_updated": "2011-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "NLC-6856",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Longmont, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.