Active NPI
Koinonia Center LLC
- Counselor
- Spokane, WA
National Provider Identifier
1760036842
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Legal business name
- KOINONIA CENTER LLC
- Practice address
- 11507 S Keeney Rd
Spokane, WA 99224-9625 - Phone
- (509) 850-2377
- NPI assigned
- Jul 28, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christi Ortiz, LMFT
- Title
- Governor
- Phone
- (509) 993-2968
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary | ||
| Pastoral Counselor | 101YP1600X | |||
| Cognitive & Behavioral Psychologist | 103TB0200X | |||
| Clinical Psychologist | 103TC0700X | |||
| Counseling Psychologist | 103TC1900X | |||
| Health Service Psychologist | 103TH0100X | |||
| Marriage & Family Therapist | 106H00000X |
Addresses
Primary practice location
11507 S Keeney Rd
Spokane, WA 99224-9625
Mailing address
11507 S Keeney Rd
Spokane, WA 99224-9625
Phone (509) 850-2377
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Marriage & Family Therapist
- Spokane, WA
- NPI 1457688772
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564272000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1691366400000",
"number": "1760036842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11507 S KEENEY RD",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992249625",
"telephone_number": "509-850-2377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11507 S KEENEY RD",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992249625",
"telephone_number": "509-850-2377"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KOINONIA CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-07-28",
"last_updated": "2023-08-07",
"certification_date": "2023-08-07",
"status": "A",
"authorized_official_last_name": "ORTIZ",
"authorized_official_first_name": "CHRISTI",
"authorized_official_title_or_position": "GOVERNOR",
"authorized_official_telephone_number": "509-993-2968",
"authorized_official_credential": "LMFT"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
},
{
"code": "101YP1600X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Pastoral",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Cognitive & Behavioral",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Counseling",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TH0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Health Service",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.