Linda Koenig

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

330015CN Issued in CA

Practice address

8310 Baxter Way
Riverside, CA 92504-4302

Phone

(951) 689-9366

Fax

(951) 689-9366

NPI assigned

Feb 12, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Ywca Born Free

  • Addiction (Substance Use Disorder) Counselor
  • Riverside, CA
  • NPI 1841358561
  NPD (past)

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

{
    "created_epoch": "1202774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202774400000",
    "number": "1902074933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8172 MAGNOLIA AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925043441",
            "telephone_number": "951-689-9366",
            "fax_number": "951-352-7374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8310 BAXTER WAY",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925044302",
            "telephone_number": "951-689-9366",
            "fax_number": "951-689-9366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOENIG",
        "first_name": "LINDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-12",
        "last_updated": "2008-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "330015CN",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRUG-MEDICAL",
            "identifier": "33352",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Witold Kobylinski
• Kenneth Ryan Kochems, AMFT
• Cheryl Kochevar-Nolte, ASW
• Bella Kochuveli
• Neslida Kodra, DO
• Joan Koerper, LCSW
• Alexander Yoo-Ahng Koh, D.D.S.
• Janet Elizabeth Kohtz, O.D.
• Erfan Kohzadi
• Dorothy Naomi Kolb-Kishaba, LMFT

• Substance Abuse Rehabilitation Facility in Riverside, CA
• Providers in Riverside, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2008; 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.