Banujah Koelmeyer, LMHCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MC61387901 Issued in WA

Practice address

195 NE Gilman Blvd Ste 100
Issaquah, WA 98027-2940

Phone

(425) 295-7697

NPI assigned

Dec 22, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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": "1671667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671667200000",
    "number": "1508578360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7812 RIVERVIEW RD",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982905885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 NE GILMAN BLVD STE 100",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980272940",
            "telephone_number": "425-295-7697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOELMEYER",
        "first_name": "BANUJAH",
        "credential": "LMHCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-22",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC61387901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "SOAPURL",
            "affiliation": "N",
            "endpointDescription": "Mental Health Service",
            "address_1": "195 NE Gilman Blvd Ste 100",
            "city": "Issaquah",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980272940",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alexandra Klious, LMT
• Rebecca Kneepkens
• Tabitha S Knowlton
• Sandra Mariko Ko
• Hisashi Wesley Kobayashi, MD
• Misty Kolakowski
• Negar Koore
• Irma Hufnagel Kountz, R.PH.
• Rachel Anastasia Kramarevsky, DDS
• Jane Darrow Kreager, PHARMD

• Mental Health Counselor in Issaquah, WA
• Providers in Issaquah, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2022; 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.