Active NPI
Lorilyn K Vonkoenig, LPC
- Professional Counselor
- Benton Harbor, MI
National Provider Identifier
1821633645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6401005574
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 6401005574 | MI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Mental Health Counselor
- Benton Harbor, MI
- NPI 1386793065
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.