Marcia Koelndorfer Counseling, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

MARCIA KOELNDORFER COUNSELING, LLC

Practice address

14887 State Road 23 Ste 3
Granger, IN 46530-5629

Phone

(574) 387-5598

NPI assigned

Aug 17, 2018

Last updated

Aug 17, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marcia KoelndorferNPI 1215926142

Title

Owner

Phone

(574) 387-5598

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marcia A Koelndorfer, LCSW

  • Clinical Social Worker
  • Granger, IN
  • NPI 1215926142
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1534464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1689154742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14887 STATE ROAD 23 STE 3",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465305629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14887 STATE ROAD 23 STE 3",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465305629",
            "telephone_number": "574-387-5598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCIA KOELNDORFER COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-17",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "KOELNDORFER",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "574-387-5598"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn Marie Mahaffey, FNP
• Naina Mahngar, M.D.
• Michelle Mai
• Major Hospital (Belltower Health & Rehabilitation Center)
• Abner Mantoo, PHYSICAL THERAPIST
• Bonnie Sue Mark
• Megan Martin, DPT
• Amy Mason, M.S., CCC-SLP
• Kimberly Sue Matthews, MPT
• Steven Thomas Matthiesen

• Mental Health Clinic/Center (Including Community Mental Health Center) in Granger, IN
• Providers in Granger, IN by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.