Thadeus B Koontz, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

M-11984 Issued in ID

Practice address

2034 De la Vina St
Santa Barbara, CA 93105-3814

Phone

(805) 681-5450

Fax

(805) 884-6888

NPI assigned

Apr 28, 2009

Last updated

Dec 31, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in ID, CA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Psychiatry

Education

University of Alabama School of Medicine, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Santa Barbara County AuditorGroup PAC ID 9335052083, 98 clinicians

Human Supports of IdahoGroup PAC ID 0244485894, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: thadeus.koontz.1@24259.direct.athenahealth.com

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.

• Santa Barbara County County Auditor

  dba Calle Real Mental Health Services Center

  • Community/Behavioral Health Agency
  • Santa Barbara, CA
  • NPI 1487857405
  Medicare reassignment Care Compare group NPD
• Human Supports of Idaho

  • Psychiatry Physician
  • Boise, ID
  • NPI 1922340124
  Medicare reassignment Care Compare group NPD
• Helicase LLC

  • Psychiatry Physician
  • Caldwell, ID
  • NPI 1083343388
  Medicare reassignment Authorized official
• St Joseph Hospital LLC

  • Internal Medicine Physician
  • Lewiston, ID
  • NPI 1205368404
  Medicare reassignment NPD
• Santa Barbara County Auditor

  dba Santa Barbara County Public Health Department-Bridgehouse

  • Federally Qualified Health Center (FQHC)
  • Lompoc, CA
  • NPI 1649096249
  NPD
• SB Cty Dept of Behavioral Wellness

  dba North County Crisis Services

  • Adult Mental Health Clinic/Center
  • Santa Maria, CA
  • NPI 1669654166
  NPD
• Helicase LLC

  • Clinical Medical Laboratory
  • Boise, ID
  • NPI 1952006959
  NPD
• Human Supports of Idaho

  • General Practice Physician
  • Caldwell, ID
  • NPI 1700129491

  Psychiatry

  NPD
• Behavioral Health Solutions of Idaho

  • Psychiatry Physician
  • Boise, ID
  • NPI 1164286092
  NPD (past)

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

{
    "created_epoch": "1240876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767139200000",
    "number": "1609010156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3340 E GOLDSTONE DR",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836421026",
            "telephone_number": "208-367-2175",
            "fax_number": "208-376-0285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2034 DE LA VINA ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931053814",
            "telephone_number": "805-681-5450",
            "fax_number": "805-884-6888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4477 W Emerald St Ste C100",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837062058",
            "country_code": "US",
            "telephone_number": "208-321-0160",
            "fax_number": "208-321-0221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOONTZ",
        "first_name": "THADEUS",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-28",
        "last_updated": "2025-12-31",
        "certification_date": "2025-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "ID",
            "license": "M-11984",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "ID",
            "license": "M11984",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "ID",
            "license": "M-11984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Anne Koltun
• Alice Konieczny
• Brennan Kono, DPT
• William C Koonce, MD
• Woodwyn Woodwyn Koons, PSY.D.
• Megan Marie Kooyman
• Brian N. Kopeikin, M.D.
• Hal S. Kopeikin, PH.D.
• Jeffrey S Kopelow, DDS
• Alex Koper, M.D.

• Psychiatry Physician in Santa Barbara, CA
• Providers in Santa Barbara, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.