Nina Kaye Koen, DSW, LCSW, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.015664 Issued in IL

Practice address

101 Chittyville Rd
Herrin, IL 62948-3552

Phone

(618) 498-0190

Fax

(618) 417-6049

NPI assigned

Feb 13, 2013

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)

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.

• Koen Counseling and Wellness Center

  • Mental Health Counselor
  • Herrin, IL
  • NPI 1952050460
  NPD Authorized official

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

{
    "created_epoch": "1360713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745193600000",
    "number": "1871832709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 CHITTYVILLE RD",
            "city": "HERRIN",
            "state": "IL",
            "postal_code": "629483552",
            "telephone_number": "618-498-0190",
            "fax_number": "618-417-6049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CHITTYVILLE RD",
            "city": "HERRIN",
            "state": "IL",
            "postal_code": "629483552",
            "telephone_number": "618-498-0190",
            "fax_number": "618-417-6049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOEN",
        "first_name": "NINA",
        "middle_name": "KAYE",
        "name_prefix": "Dr.",
        "credential": "DSW, LCSW, MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-13",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.015664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Avery Victoria Ketteman, RBT
• Brandi Rose Kirby, OTR/L
• Dena Leigh Kirk, OTR/L
• Katherine Jo Kleckner, RPH
• Koen Counseling and Wellness Center
• Abhish Koirala, M.D.
• Sean Michael Koller, PT
• Mark J Korte, M.D.
• Antoni J Kos, MD
• Rebekah Marie Kosco

• Clinical Social Worker in Herrin, IL
• Providers in Herrin, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.