Koinonia Counseling, PLLC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

60667776 Issued in WA

Legal business name

KOINONIA COUNSELING, PLLC

Practice address

615 N 2ND St
Tacoma, WA 98403-2232

Phone

(253) 292-6756

NPI assigned

Sep 29, 2016

Last updated

Sep 29, 2016By 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

Kelly Carr

Title

Owner

Phone

(360) 220-3299

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1475107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475107200000",
    "number": "1700335890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 N 2ND ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984032232",
            "telephone_number": "253-292-6756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 N 2ND ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984032232",
            "telephone_number": "253-292-6756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOINONIA COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-29",
        "last_updated": "2016-09-29",
        "status": "A",
        "authorized_official_last_name": "CARR",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-220-3299"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "60667776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rita Koester, MD
• Tamia Mary Kognang
• Casey Bailey Kohen
• Kelley Kohlwes, MA
• Joseph Roy Kohn, PHARMD
• John Constantine Kois, DMD, MSD
• Ilir Kimet Kojtari, PHARMD
• Kimberly Kokias, BCBA
• Vincent Kokich, DDS, MSD
• Kaitlyn L Kolarik, ARNP

• Counselor in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2016; 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.