Dr. Theodora H. Koehn, P.C.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

19497 Issued in TX

Legal business name

DR. THEODORA H. KOEHN, P.C.

Practice address

17300 Preston Rd
Suite 160
Dallas, TX 75252-5654

Phone

(214) 435-4620

Fax

(972) 733-6564

NPI assigned

May 18, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Theodora Hart Koehn, LPC

Title

President

Phone

(214) 435-4620

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1242604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242604800000",
    "number": "1982839098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17300 PRESTON RD",
            "address_2": "SUITE 160",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752525654",
            "telephone_number": "214-435-4620",
            "fax_number": "972-733-6564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17300 PRESTON RD",
            "address_2": "SUITE 160",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752525654",
            "telephone_number": "214-435-4620",
            "fax_number": "972-733-6564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. THEODORA H. KOEHN, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-18",
        "last_updated": "2009-05-18",
        "status": "A",
        "authorized_official_last_name": "KOEHN",
        "authorized_official_first_name": "THEODORA",
        "authorized_official_middle_name": "HART",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-435-4620",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "19497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Dallas, TX
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2009; 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.