Individual provider Active NPI

Stephanie Koerner, MA

  • Mental Health Counselor
  • Richland, WA
National Provider Identifier
1558500561
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MC60829366 Issued in WA
Practice address
718 Jadwin Ave
Richland, WA 99352-4218
Phone
(509) 521-7833
Fax
(509) 943-8406
NPI assigned
Feb 13, 2009
Last updated
May 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2025

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 MC60829366 WA Primary

Addresses

Primary practice location

718 Jadwin Ave
Richland, WA 99352-4218

Mailing address

305 Road 35
Pasco, WA 99301-3120
Phone (509) 521-7833

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
MC60829366WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive on Counseling, LLC Mental Health CurrentSince May 18, 2025 Accepting new patients

Locations

718 Jadwin Ave
Richland, WA 99352
Phone (509) 521-7833

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1234483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1558500561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 ROAD 35",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993013120",
            "telephone_number": "509-521-7833",
            "fax_number": "509-943-8406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 JADWIN AVE",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993524218",
            "telephone_number": "509-521-7833",
            "fax_number": "509-943-8406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOERNER",
        "first_name": "STEPHANIE",
        "name_prefix": "Ms.",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-13",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC60829366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; 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.