MRS. EVA ANNA KOOL LCSW-R NPI 1396851796

NPI Information

NPI: 1396851796
Provider Name: MRS. EVA ANNA KOOL, LCSW-R
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

PECOS Registration: Yes

Address:
315 USHERS RD
BALLSTON LAKE, NY
ZIP 12019
Phone: (518) 877-8812
Get Directions

MRS. Eva Anna Kool, LCSW-R is a mental health counselor in Ballston Lake, NY. MRS. Eva Anna Kool, LCSW-R NPI is 1396851796. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

315 USHERS RD
BALLSTON LAKE, NY
ZIP 12019-547
Phone: (518) 877-8812
Fax: (518) 877-8812

The NPI 1396851796 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 8/21/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	R061422	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	19707	MEDICARE UPIN
2	02134807	MEDICAID	NEW YORK
3	CC3511	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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