Individual provider Active NPI

Roxanne Koenig, MS, LIMHP #442

  • Mental Health Counselor
  • Bellevue, NE
National Provider Identifier
1639246093
Registry record updated Nov 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
557 Issued in NE
Practice address
919 Galvin Road
Suite a
Bellevue, NE 68005-2207
Phone
(402) 658-0103
Fax
(402) 591-5075
NPI assigned
Nov 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2016

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 557 NE Primary

Addresses

Primary practice location

919 Galvin Road
Suite a
Bellevue, NE 68005-2207

Mailing address

919 Galvin Road
Suite a
Bellevue, NE 68005-2207
Phone (402) 658-0103

Other names 1

  • Roxanne Koenig Other name

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 Science

State licenses

LicenseStateTypeSpecialty
557NEMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lutheran Family Services of NE, Inc Mental Health PastSince Jan 1, 2024 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479427200000",
    "number": "1639246093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 GALVIN ROAD",
            "address_2": "SUITE A",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "680052207",
            "telephone_number": "402-658-0103",
            "fax_number": "402-296-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 GALVIN ROAD",
            "address_2": "SUITE A",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "680052207",
            "telephone_number": "402-658-0103",
            "fax_number": "402-591-5075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOENIG",
        "first_name": "ROXANNE",
        "name_prefix": "Ms.",
        "credential": "MS, LIMHP #442",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2016-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROXANNE",
            "last_name": "KOENIG",
            "credential": "MS, LMHP #557",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bellevue, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2016; 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.