DONALD L KOONCE LCSW NPI 1689652505

NPI Information

NPI: 1689652505
Provider Name: DONALD L KOONCE, LCSW
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
1121 E MISSOURI AVE
SUITE 228
PHOENIX, AZ
ZIP 85014
Phone: (602) 617-0036
Get Directions

Donald L Koonce, LCSW is a mental health counselor in Phoenix, AZ. Donald L Koonce, LCSW NPI is 1689652505. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1121 E MISSOURI AVE
SUITE 228
PHOENIX, AZ
ZIP 85014-713
Phone: (602) 617-0036
Fax: (602) 631-6900

The enumeration date for this NPI number is 1/3/2006 and was last updated on 5/5/2010.

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	LCSW-1996	ARIZONA	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	Other Provider Identifier Issuer
1	24316	MEDICARE ID-TYPE UNSPECIFIED	ARIZONA

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: 11/14/2023

NPI Synchronization or Removal

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