Koinonia Global Wellness Inc

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

KOINONIA GLOBAL WELLNESS INC

Practice address

5797 Beechcroft Rd Ste F
Columbus, OH 43229-2758

Phone

(614) 592-8269

NPI assigned

Jan 22, 2020

Organization subpart

No

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

Authorized official

Name

ABA B Overcomer

Title

President

Phone

(713) 589-3320

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1579651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579651200000",
    "number": "1588294201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5797 BEECHCROFT RD STE F",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432292758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5797 BEECHCROFT RD STE F",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432292758",
            "telephone_number": "614-592-8269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOINONIA GLOBAL WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-22",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A",
        "authorized_official_last_name": "OVERCOMER",
        "authorized_official_first_name": "ABA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-589-3320"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Computer",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5797 Beechcroft Rd Ste F",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432292758",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Samantha Kohler
• Matthew Austin Kohlmann, DPT
• Bridget Bonnie Kohls, LPC
• Jennifer Kohls, MSN, CNP, AGACNP-BC
• Jerrica Kohn
• Hisako M Koizumi, MD
• Emma Kokaska
• Hunter Koker, RN
• Sarah Kolaczynski
• Michael Kolan, M.D.

• Health Service Clinic/Center in Columbus, OH
• Providers in Columbus, OH by specialty
• Health Service Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2020; 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.