Individual provider Active NPI

Robert Louis Koehl, LPC

  • Mental Health Counselor
  • Cottonwood, AZ
National Provider Identifier
1336880590
Registry record updated Apr 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC-20809 Issued in AZ
Practice address
8 E Cottonwood St
Cottonwood, AZ 86326-4382
Phone
(877) 634-7333
NPI assigned
Apr 3, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC-20809 AZ Primary

Addresses

Primary practice location

8 E Cottonwood St
Cottonwood, AZ 86326-4382

Mailing address

1904 S Contention LN
Cottonwood, AZ 86326-5001
Phone (520) 485-5056

Other names 1

  • Rob Koehl Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Robertk@Spectrumhg.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240116003731 AZ Practitioner - Mental Health Counselor 1254783152 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Healthcare Group, Inc. Mental Health Current Accepting new patients
Spectrum Healthcare Group, Inc. Mental Health Current Accepting new patients
Spectrum Healthcare Group, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Spectrum Healthcare Group, Inc Mental Health CurrentSince Jan 1, 2024 Accepting new patients

Locations

8 E Cottonwood St
Cottonwood, AZ 86326
Phone (928) 203-5404

8 E Cottonwood St
Bldg C
Cottonwood, AZ 86326
Phone (928) 203-5400

8 E Cottonwood St
Bldg A
Cottonwood, AZ 86326
Phone (928) 203-5404

4494 W Peoria Ave
Ste 115A
Glendale, AZ 85302
Phone (480) 876-4013

1200 N Country Club Rd
Tucson, AZ 85716
Phone (520) 770-1197

Interoperability endpoints

  • Direct secure messaging: robert.koehl.p1@direct.spectrumhg.nextgenshare.com
  • Direct secure messaging: robertk@spectrumhg.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1648944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648944000000",
    "number": "1336880590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1904 S CONTENTION LN",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863265001",
            "telephone_number": "520-485-5056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 E COTTONWOOD ST",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863264382",
            "telephone_number": "877-634-7333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOEHL",
        "first_name": "ROBERT",
        "middle_name": "LOUIS",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-03",
        "last_updated": "2022-04-03",
        "certification_date": "2022-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC-20809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Robertk@Spectrumhg.org",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8 E Cottonwood St",
            "city": "Cottonwood",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "863264382",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ROB",
            "last_name": "KOEHL",
            "credential": "LPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cottonwood, AZ

Sources for this page

Verify at the official NPI Registry.