Devin Kincaid Koepke, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

013878 Issued in NY

Practice address

15 Riverside Dr
Johnson City, NY 13790-2742

Phone

(607) 217-4170

NPI assigned

Feb 7, 2024

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1707264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1780448118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2913 NORTH ST APT 3",
            "city": "ENDICOTT",
            "state": "NY",
            "postal_code": "137605862",
            "telephone_number": "618-314-3523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 RIVERSIDE DR",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137902742",
            "telephone_number": "607-217-4170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOEPKE",
        "first_name": "DEVIN",
        "middle_name": "KINCAID",
        "name_prefix": "Mr.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-07",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "013878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Ann Kliment, OTR/L
• Karrie Klock, M.S., CCC-SLP
• Courtney Rose Knapp, OTR
• Richard B. Knight, M.D.
• Ashlin Kocan, PA
• Jasmin Kohli, MD
• John K Koniuto, PT, MSPT, DPT
• Melissa L Korosec, FNP
• Brenda L Kosydar, RN, BSN, CDE
• Andrea Kovac, NP

• Mental Health Counselor in Johnson City, NY
• Providers in Johnson City, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; 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.