Paula Koelbl

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

1101 E Winter Ave
Danville, IL 61832-2295

Phone

(217) 651-6801

Fax

(217) 651-6802

NPI assigned

Mar 15, 2022

Last updated

Mar 17, 2022By the provider in NPPES

Sex

Female

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 IL

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

Specialty

Mental Health Counselor

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: paula.koelbl.1@30412.direct.athenahealth.com

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.

• Mahomet Clinic LLC

  • Counselor
  • Mahomet, IL
  • NPI 1841012770
  Medicare reassignment NPD

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

{
    "created_epoch": "1647302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647475200000",
    "number": "1760130009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 E WINTER AVE",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618322295",
            "telephone_number": "217-651-6801",
            "fax_number": "217-651-6802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 E WINTER AVE",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618322295",
            "telephone_number": "217-651-6801",
            "fax_number": "217-651-6802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOELBL",
        "first_name": "PAULA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-15",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bekki Kist
• Brandye Lynn Kizer, BS, MHP
• Lukas Knight
• Kort Roderick Knous, MD
• Thomas C Koehler, M.D.
• Timothy Alan Kohlbecker, MSW
• Carrie Konieczki, LPC
• Dong Koo, MD
• Yeonsuk Choi Koo, M.D.
• Timothy Franklin Koons, LCSW

• Counselor in Danville, IL
• Providers in Danville, IL by specialty
• Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.