Emily Konicki

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

15200 S Jog Rd Ste 303
Delray Beach, FL 33446-1249

Phone

(561) 501-1054

NPI assigned

Sep 2, 2021

Sex

Female

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)

Enrolled

Practice roles

Locations

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.

• Healing Space Therapy, LLC

  • Marriage & Family Therapist
  • Delray Beach, FL
  • NPI 1245938117
  NPD Authorized official

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

{
    "created_epoch": "1630540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632614400000",
    "number": "1841968906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15200 S JOG RD STE 303",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334461249",
            "telephone_number": "561-501-1054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15200 S JOG RD STE 303",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334461249",
            "telephone_number": "561-501-1054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONICKI",
        "first_name": "EMILY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-02",
        "last_updated": "2021-09-26",
        "certification_date": "2021-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Kogan
• Koi Health Solution, LLC
• Christos Peter Kokinakos, D.O.
• Alan Koletsky, MD
• David Michael Kolker, LCSW
• Tania Koolik, PH.D.
• Nicolas B Koppelman, M. ED., LMHC
• Stacey Ann Kordis, LMHC
• Julianne Koritz, MS RD LDN CLT
• Danielle Kosek, LMHC

• Marriage & Family Therapist in Delray Beach, FL
• Providers in Delray Beach, FL by specialty
• Marriage & Family Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2021; 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.