Pam Koagel, CASAC, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

001233 Issued in NY

Practice address

201 W Court St
Rome, NY 13440-5707

Phone

(315) 281-9363

NPI assigned

Aug 26, 2015

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

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Marriage and Family Therapist

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Samaritan Counseling Center of the Mohawk Valley, Inc.Group PAC ID 8921083882, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Samaritan Counseling Center of the Mohawk Valley, Inc

  • Mental Health Counselor
  • Utica, NY
  • NPI 1649377854
  Medicare reassignment Care Compare group NPD
• Samaritan Counseling Center of the Mohawk Valley, Inc

  • Social Worker
  • Utica, NY
  • NPI 1588903454
  NPD (past)

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

{
    "created_epoch": "1440547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440547200000",
    "number": "1912374802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W COURT ST",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134405707",
            "telephone_number": "315-281-9363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W COURT ST",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134405707",
            "telephone_number": "315-281-9363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOAGEL",
        "first_name": "PAM",
        "credential": "CASAC, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-26",
        "last_updated": "2015-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "001233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Surinder Khokhar, M.D.
• Julie Kay Kincaud, LPN
• Heather Huhta Kirk
• Katherine A Kirk, CRNA
• Richard J Klockowski, DDS MS
• John Anthony Kobylanski, D.M.D.
• Lavanya Kodali, M.D.
• Peggy Koenig, RN
• John Peter Kosar, DPM
• Brianna Kubik

• Marriage & Family Therapist in Rome, NY
• Providers in Rome, NY by specialty
• Marriage & Family Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.