Individual provider Active NPI

Michele Dana Koenig, LPC, LMFT

  • Marriage & Family Therapist
  • West Nyack, NY
National Provider Identifier
1639372824
Registry record updated Feb 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
000684-1 Issued in NY
Practice address
450 West Nyack Rd
Suite 2
West Nyack, NY 10994
Phone
(845) 354-2121
Fax
(845) 354-2928
NPI assigned
Jun 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 000684-1 NY Primary

Addresses

Primary practice location

450 West Nyack Rd
Suite 2
West Nyack, NY 10994

Mailing address

450 W Nyack Rd
Suite 2
West Nyack, NY 10994-1754
Phone (845) 354-2121

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

State licenses

LicenseStateTypeSpecialty
000684-1NYMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Family Service of Rockland County, Inc. Current Accepting new patients

Locations

450 W Nyack Rd
Ste 2
West Nyack, NY 10994
Phone (845) 354-2121

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": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265155200000",
    "number": "1639372824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 W NYACK RD",
            "address_2": "SUITE 2",
            "city": "WEST NYACK",
            "state": "NY",
            "postal_code": "109941754",
            "telephone_number": "845-354-2121",
            "fax_number": "845-354-2928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 WEST NYACK RD",
            "address_2": "SUITE 2",
            "city": "WEST NYACK",
            "state": "NY",
            "postal_code": "10994",
            "telephone_number": "845-354-2121",
            "fax_number": "845-354-2928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOENIG",
        "first_name": "MICHELE",
        "middle_name": "DANA",
        "name_prefix": "Mrs.",
        "credential": "LPC, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-06",
        "last_updated": "2010-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "000684-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Nyack, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2010; 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.