Laurie Lynn Koenig, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY19935 Issued in CA

Practice address

2026 17TH St
Ste 101
Bakersfield, CA 93301-4251

Phone

(661) 861-1134

Fax

(661) 325-3030

NPI assigned

May 8, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Laurie Lynn Holderness Former name

Medicare fee-for-service enrollment

Enrolled in CA, FL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Clinical Psychologist

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Alpha Beta Behavioral Psychological Services Inc.

  • Clinical Psychologist
  • Bakersfield, CA
  • NPI 1952942187
  NPD (past)

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1649483363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1344 REDWOOD LN",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325635600",
            "telephone_number": "661-428-0506",
            "fax_number": "866-214-3180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2026 17TH ST",
            "address_2": "STE 101",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933014251",
            "telephone_number": "661-861-1134",
            "fax_number": "661-325-3030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1344 Redwood Ln",
            "address_purpose": "LOCATION",
            "city": "Gulf Breeze",
            "state": "FL",
            "postal_code": "325635600",
            "country_code": "US",
            "telephone_number": "661-428-0506",
            "fax_number": "866-214-3180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOENIG",
        "first_name": "LAURIE",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-08",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY19935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURIE",
            "last_name": "HOLDERNESS",
            "middle_name": "LYNN",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Albert Ko, M.D.
• Jaewoong Ko
• Jena Kay Koch
• Tamas Kocsis, MD
• Diane G. Koditek, MFT
• Stanley S Koh, DDS
• Kathleen Ann Kohler, NP-C
• Roger A Kohn
• Koinonia Foster Homes Inc
• Komal Desai MD Inc

• Clinical Psychologist in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; 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.