Active NPI
Judith Koenig, MFT
- Marriage & Family Therapist
- Pleasanton, CA
National Provider Identifier
1649589342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC 41093
- Practice address
- 3015 Hopyard Rd
Suite O
Pleasanton, CA 94588-5247 - Phone
- (925) 396-5901
- Fax
- (925) 485-4807
- NPI assigned
- Sep 28, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC 41093 | CA | Primary |
Addresses
Primary practice location
3015 Hopyard Rd
Suite O
Pleasanton, CA 94588-5247
Mailing address
5574 Corte del Cajon
Pleasanton, CA 94566-5901
Phone (925) 396-5901
Other names 1
- Judi Koenig
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
| License | State | Type | Specialty |
|---|---|---|---|
| MFC 41093 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285632000000",
"number": "1649589342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5574 CORTE DEL CAJON",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945665901",
"telephone_number": "925-396-5901",
"fax_number": "925-485-4807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3015 HOPYARD RD",
"address_2": "SUITE O",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945885247",
"telephone_number": "925-396-5901",
"fax_number": "925-485-4807"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOENIG",
"first_name": "JUDITH",
"credential": "MFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-28",
"last_updated": "2010-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC 41093",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JUDI",
"last_name": "KOENIG",
"credential": "MFT",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Pleasanton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.