Active NPI
Mark Koenig
- Counselor
- San Luis Obispo, CA
National Provider Identifier
1952756819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 2180 Johnson Ave
2ND Floor
San Luis Obispo, CA 93401-4513 - Phone
- (805) 781-4100
- NPI assigned
- Apr 28, 2016
- Last updated
- Apr 28, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | NU | Primary |
Addresses
Primary practice location
2180 Johnson Ave
2ND Floor
San Luis Obispo, CA 93401-4513
Mailing address
4527 San Jacinto Ave
Atascadero, CA 93422-3021
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461801600000",
"number": "1952756819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4527 SAN JACINTO AVE",
"city": "ATASCADERO",
"state": "CA",
"postal_code": "934223021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2180 JOHNSON AVE",
"address_2": "2ND FLOOR",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934014513",
"telephone_number": "805-781-4100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOENIG",
"first_name": "MARK",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-04-28",
"last_updated": "2016-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Luis Obispo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.