Koinonia Dynamisinc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

MH90 Issued in FL

Legal business name

KOINONIA DYNAMISINC

Practice address

2979 Centerwood Dr
Jacksonville, FL 32218-9208

Phone

(904) 536-4371

NPI assigned

May 19, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Addris B Vinson, LMHC.CRC

Title

Ceo

Phone

(904) 536-4371

Specialties & licenses 1

Addresses

Tax ID family

Koinonia Dynamis Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Koinonia Dynamis Inc.

  • Case Management Agency
  • Jacksonville, FL
  • NPI 1083858112
  NPD tax ID
• Koinonia Dynamis Inc.

  • Case Management Agency
  • Jacksonville, FL
  • NPI 1366686958
  NPD tax ID

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

{
    "created_epoch": "1463616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463616000000",
    "number": "1730536772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2979 CENTERWOOD DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322189208",
            "telephone_number": "904-536-4371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2979 CENTERWOOD DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322189208",
            "telephone_number": "904-536-4371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOINONIA DYNAMISINC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-19",
        "last_updated": "2016-05-19",
        "status": "A",
        "authorized_official_last_name": "VINSON",
        "authorized_official_first_name": "ADDRIS",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "904-536-4371",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMHC.CRC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "MH90",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Holmes Kohn, M.S.
• Jamie Kohrn, LMT
• Kenzo James Paul Koike, M.D.
• Koinonia Dynamis Inc.
• Koinonia Dynamis Inc.
• James Koivisto, PHARMD
• Kok-Tow NG, DDS., PA
• Erald Kola
• Elizabeth Ashley Kolankiewicz, RN
• Emily Elizabeth Coppedge Kolar, DPT

• Community/Behavioral Health Agency in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Community/Behavioral Health Agency in Florida

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