Martha Jean Koeninger, LAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A2010146 Issued in AR

Practice address

9101 N Rodney Parham Rd Ste B
Little Rock, AR 72205-1685

Phone

(501) 389-8100

Fax

(870) 572-2891

NPI assigned

Sep 19, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Nextstep Counseling Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Paragould, AR
  • NPI 1801488317
  NPD

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1689396350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1707 LINWOOD DR STE G",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724505365",
            "telephone_number": "870-604-4455",
            "fax_number": "870-572-2892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9101 N RODNEY PARHAM RD STE B",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722051685",
            "telephone_number": "501-389-8100",
            "fax_number": "870-572-2891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOENINGER",
        "first_name": "MARTHA",
        "middle_name": "JEAN",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-19",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "A2010146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrienne Marie Koder
• Kendra L Koehler, LPC
• Tommy Roland Koehler, MD
• Kristen Koen, LAC
• Kylie Ann Koeneke, OTR/L
• Suzanne M Koesy, RPH
• Shelby Koffi
• Annalyse Kohley, MD
• Nithya Prathima Koka, MD
• Charles Paul Kokes, M.D.

• Mental Health Counselor in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Mental Health Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; 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.