Sophia Koinis

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC.0020900 Issued in CO

Practice address

2350 17TH Ave Ste 107
Longmont, CO 80503-1738

Phone

(970) 310-0382

NPI assigned

Dec 12, 2022

Sex

Unspecified or another gender identity

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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": "1670803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1326759283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 17TH AVE STE 107",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805031738",
            "telephone_number": "720-310-0382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 17TH AVE STE 107",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805031738",
            "telephone_number": "970-310-0382"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2175 Alpine St Apt D203",
            "address_purpose": "LOCATION",
            "city": "Longmont",
            "state": "CO",
            "postal_code": "805042580",
            "country_code": "US",
            "telephone_number": "919-691-3204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOINIS",
        "first_name": "SOPHIA",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2022-12-12",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPC.0020900",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0020900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isabel Koelsch, M.D.
• Koena LLC
• Rachel M. Koenigsberg, C.C.HT.
• Christopher Andrew Koerber, DO
• Lisa Koets
• Michele Kolakowski, CD(DONA), RMT
• Gregg A. Koldenhoven, MD
• Bryant Koopmans
• Courtney Korban, CPM
• Katherine Colleen Korenek, RN

• Professional Counselor in Longmont, CO
• Providers in Longmont, CO by specialty
• Professional Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.