Elwood Ray Koenig, WOODY KOENIG LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

L1262 Issued in OR

Practice address

319 W Locust Ave
Hermiston, OR 97838-1734

Phone

(541) 567-3363

NPI assigned

May 20, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Mr. Woody Koenig Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1179619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326256496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1546",
            "city": "HERMISTON",
            "state": "OR",
            "postal_code": "978383546",
            "telephone_number": "541-567-3363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 W LOCUST AVE",
            "city": "HERMISTON",
            "state": "OR",
            "postal_code": "978381734",
            "telephone_number": "541-567-3363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOENIG",
        "first_name": "ELWOOD",
        "middle_name": "RAY",
        "name_prefix": "Mr.",
        "credential": "WOODY KOENIG LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "L1262",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LW00006625",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS REGENCE INSURANCE",
            "identifier": "83124000",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WOODY",
            "last_name": "KOENIG",
            "prefix": "MR.",
            "credential": "WOODY KOENIG LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Michael King II
• Jodi Frances Kirk, FNP
• Marylin Kay Kirkham, M.S.
• Paul Kirse, RPH
• Genessa Knowles, M.S. CCC-SLP
• Joyce Michelle Koh, M.D.
• Kristopher B Peterson, DC PC (Peterson Clinic)
• Mykah Dean Krumwiede, CADC-R
• Sandeep Kunwar, MD
• Kyle J. Duncan, DPM, LLC

• Mental Health Counselor in Hermiston, OR
• Providers in Hermiston, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.