Donald L Koonce, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LCSW-1996 Issued in AZ

Practice address

1121 E Missouri Ave
Suite 228
Phoenix, AZ 85014-2713

Phone

(602) 617-0036

Fax

(602) 631-6900

NPI assigned

Jan 3, 2006

Sex

Male

Sole proprietor

Yes

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

Enrolled in CA

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 1

Medicare enrollment (NPD)

Enrolled

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.

• Eugene Rosenman MD Professional Corporation

  • Adult Mental Health Clinic/Center
  • Anaheim, CA
  • NPI 1992588313
  Medicare reassignment NPD

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

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273017600000",
    "number": "1689652505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 E PASADENA AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850121518",
            "telephone_number": "602-617-0036",
            "fax_number": "602-631-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 E MISSOURI AVE",
            "address_2": "SUITE 228",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850142713",
            "telephone_number": "602-617-0036",
            "fax_number": "602-631-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOONCE",
        "first_name": "DONALD",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-03",
        "last_updated": "2010-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LCSW-1996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Lynn Koo
• Andraya Kooistra
• Kirsten Koolhoven, LMT
• Brandon Anthony Koolick, PHARM.D.
• Wyatt Samuel Koolmees, MD
• William Randall Koontz, R.PH.
• James Steven Koop, D.C.
• Kwynn Nulsen Koop, D.D.S.
• Peggy Koop, O.D.
• Richard Koop, O.D.

• Mental Health Counselor in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Mental Health Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.