Mary Elizabeth Koon, RN MED LADC

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

01976321 Issued in NH

Practice address

2013 Elm St
Pastoral Counseling Services
Manchester, NH 03104

Phone

(603) 627-2702

Fax

(603) 627-3643

NPI assigned

Oct 12, 2006

Last updated

Sep 11, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education, Registered Nurse

State licenses

Practice roles

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.

• Brightleaf, Inc

  • Adult Mental Health Clinic/Center
  • Manchester, NH
  • NPI 1306934757
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1780773879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 WOODBURY RD",
            "city": "NEW BOSTON",
            "state": "NH",
            "postal_code": "03070",
            "telephone_number": "603-487-2732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2013 ELM ST",
            "address_2": "PASTORAL COUNSELING SERVICES",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "03104",
            "telephone_number": "603-627-2702",
            "fax_number": "603-627-3643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOON",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "RN MED LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NH",
            "license": "035",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NH",
            "license": "01976321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arathi R Komarla, M.D.
• Ruth Komukyeya
• Michael Allen Kondik II, OD
• Heather M Koning, PA
• Alexandria Annjeanette Konts
• Rachel Koornneef
• Nicole Kopacz
• Rikka Chiang Korb
• Kornerstone Kids Therapy & Learning Center
• Linda Kornfeld, MD

• Psychiatric/Mental Health Registered Nurse in Manchester, NH
• Providers in Manchester, NH by specialty
• Psychiatric/Mental Health Registered Nurse in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.