Koon Counseling Services LMSW, P.C.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

KOON COUNSELING SERVICES LMSW, P.C.

Practice address

317 W 1St St Ste 112
Oswego, NY 13126-3678

Phone

(315) 021-6068

NPI assigned

May 19, 2017

Organization subpart

No

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

Authorized official

Name

Jennifer KoonNPI 1770859902

Title

Owner

Phone

(315) 430-4070

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Lauren Koon, LMSW

  • Clinical Social Worker
  • Oswego, NY
  • NPI 1770859902
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1495152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1495152000000",
    "number": "1336676469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 EASTERLY TER",
            "city": "DE WITT",
            "state": "NY",
            "postal_code": "132142316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 W 1ST ST STE 112",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131263678",
            "telephone_number": "315-021-6068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOON COUNSELING SERVICES LMSW, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-19",
        "last_updated": "2017-05-19",
        "status": "A",
        "authorized_official_last_name": "KOON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-430-4070"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "0000000",
            "identifier": "0000000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Kinsman, DDS
• Karyn Anne Kirwan, RN
• Alan Knight, PTA
• Steven Kolenda, D.D.S.
• Karen Lee Komarnicki, RPH
• Jennifer Lauren Koon, LMSW
• KPH Healthcare Services, Inc.
• Elizabeth Anne Kreinheder
• Meghan K Kresge, LCSW
• Colleen Mary Krug, P.A.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Oswego, NY
• Providers in Oswego, NY by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.