Organization Active NPI

Koinonia Kounseling, LLC

  • Clinical Social Worker
  • Cassville, MO
National Provider Identifier
1982915328
Registry record updated Jun 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2007020855 Issued in MO
Legal business name
KOINONIA KOUNSELING, LLC
Practice address
15 Keeven Dr
Cassville, MO 65625-9766
Phone
(417) 342-0951
Fax
(417) 847-6510
NPI assigned
Jun 30, 2010
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Jacqueline Jean Schnedler, MSW, LCSW
Title
Member
Phone
(417) 342-0951

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 2007020855 MO Primary

Addresses

NPPES NPI Registry

Primary practice location

15 Keeven Dr
Cassville, MO 65625-9766

Mailing address

PO Box 688
Cassville, MO 65625-0688
Phone (417) 342-0951

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 30, 2010.

{
    "created_epoch": "1277856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277856000000",
    "number": "1982915328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 688",
            "city": "CASSVILLE",
            "state": "MO",
            "postal_code": "656250688",
            "telephone_number": "417-342-0951",
            "fax_number": "417-847-6510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 KEEVEN DR",
            "city": "CASSVILLE",
            "state": "MO",
            "postal_code": "656259766",
            "telephone_number": "417-342-0951",
            "fax_number": "417-847-6510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOINONIA KOUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-30",
        "last_updated": "2010-06-30",
        "status": "A",
        "authorized_official_last_name": "SCHNEDLER",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "417-342-0951",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2007020855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cassville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; 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.