Individual provider Active NPI

Lorilyn K Vonkoenig, LPC

  • Professional Counselor
  • Benton Harbor, MI
National Provider Identifier
1821633645
Registry record updated Nov 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401005574 Issued in MI
Practice address
1850 Colfax Ave
Benton Harbor, MI 49022-6753
Phone
(269) 926-6199
Fax
(269) 926-6780
NPI assigned
Nov 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401005574 MI Primary

Addresses

Primary practice location

1850 Colfax Ave
Benton Harbor, MI 49022-6753

Mailing address

1606 N Riviera Dr
Stevensville, MI 49127-9620
Phone (269) 932-2314

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6401005574MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan Center Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1573776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573776000000",
    "number": "1821633645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1606 N RIVIERA DR",
            "city": "STEVENSVILLE",
            "state": "MI",
            "postal_code": "491279620",
            "telephone_number": "269-932-2314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 COLFAX AVE",
            "city": "BENTON HARBOR",
            "state": "MI",
            "postal_code": "490226753",
            "telephone_number": "269-926-6199",
            "fax_number": "269-926-6780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VONKOENIG",
        "first_name": "LORILYN",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-15",
        "last_updated": "2019-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401005574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Benton Harbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2019; 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.