Gia Koehne, PSY.D., BCBA

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

34439 Issued in TX

Practice address

14235 Blanco Rd
San Antonio, TX 78216-7718

Phone

(210) 415-9626

NPI assigned

May 15, 2007

Last updated

Nov 1, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Blossom Center for Children LLC

  • Behavior Analyst
  • San Antonio, TX
  • NPI 1881991990
  NPD

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1922214832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14235 BLANCO RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782167718",
            "telephone_number": "210-415-9626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14235 BLANCO RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782167718",
            "telephone_number": "210-415-9626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOEHNE",
        "first_name": "GIA",
        "name_prefix": "Dr.",
        "credential": "PSY.D., BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "34439",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": "1-09-6584",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "206449-04",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gary Lionel Koehl, DDS
• George Koehler
• Kathleen G. Koehler, LCP-LMFT
• Malaki Scott Koehler
• Rebecca Koehler
• Elizabeth Mary Koelbel, PT, DPT
• Laura Morriss Koen, MSN, APRN, FNP-C
• Alexa Katharine Koenig, CRNA
• Kennon Lee Koenig, D.D.S.
• Kiara A Koenig

• Clinical Psychologist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; 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.