Joseph Henry Koelzer Jr., M.A.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

IN PROCESS Issued in WA

Practice address

2687 W Valley Rd
Friday Harbor, WA 98250-8164

Phone

(425) 275-8600

Fax

(425) 320-3898

NPI assigned

Apr 29, 2014

Last updated

Apr 29, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Clearing, SPC

  • Substance Abuse Rehabilitation Facility
  • Friday Harbor, WA
  • NPI 1801224803
  NPD (past) Authorized official

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

{
    "created_epoch": "1398729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398729600000",
    "number": "1700296712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2687 W VALLEY RD",
            "city": "FRIDAY HARBOR",
            "state": "WA",
            "postal_code": "982508164",
            "telephone_number": "425-275-8600",
            "fax_number": "425-320-3898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2687 W VALLEY RD",
            "city": "FRIDAY HARBOR",
            "state": "WA",
            "postal_code": "982508164",
            "telephone_number": "425-275-8600",
            "fax_number": "425-320-3898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOELZER",
        "first_name": "JOSEPH",
        "middle_name": "HENRY",
        "name_suffix": "Jr.",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-29",
        "last_updated": "2014-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "IN PROCESS",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "IN PROCESS",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Alexis Jong, MD
• Caleb Killer, DDS
• Lisa Marie King, L.M.P.
• Marcia R King, MA
• Susan A Kiraly, MS, DDS, FAGD
• Lauren Kreiger, MD
• Brian J Krembs, M.A., M.ED., LMHCA
• Cheryl Kringle
• Lavendera Day Spa LTD
• Lavendera Massage LLC

• Mental Health Counselor in Friday Harbor, WA
• Providers in Friday Harbor, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2014; 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.