Organization Active NPI

Debra L. Koenig, LMFT, LLC

  • Marriage & Family Therapist
  • Norwalk, CT
National Provider Identifier
1568979003
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1863 Issued in CT
Legal business name
DEBRA L. KOENIG, LMFT, LLC
Practice address
91 East Ave Ste 200
Norwalk, CT 06851-5020
Phone
(203) 857-9517
NPI assigned
Jan 5, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Ms. Debra Lynn Koenig, MA, LMFTNPI 1093259483
Title
Owner
Phone
(203) 858-6576

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X 1863 CT Primary

Addresses

Primary practice location

91 East Ave Ste 200
Norwalk, CT 06851-5020

Mailing address

6 Grouse Path
Westport, CT 06880-1007
Phone (203) 222-8807

Other identifiers 1

IdentifierTypeStateIssuer
008069892MedicaidCT

National Provider Directory

National Provider Directory

Locations

91 East Ave
Ste 200
Norwalk, CT 06851
Phone (203) 857-9517

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1515110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1568979003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 GROUSE PATH",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068801007",
            "telephone_number": "203-222-8807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 EAST AVE STE 200",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068515020",
            "telephone_number": "203-857-9517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBRA L. KOENIG, LMFT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-05",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "KOENIG",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-858-6576",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "1863",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008069892",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.