MR. PHILIP A KOESTLER LPC NPI 1902812753

NPI Information

NPI: 1902812753
Provider Name: MR. PHILIP A KOESTLER, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
3119 GOLF RD
EAU CLAIRE, WI
ZIP 54701
Phone: (715) 832-1678
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MR. Philip A Koestler, LPC is a professional counselor in Eau Claire, WI. MR. Philip A Koestler, LPC NPI is 1902812753. 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:

3119 GOLF RD
EAU CLAIRE, WI
ZIP 54701-006
Phone: (715) 832-1678
Fax: (715) 832-6680

The enumeration date for this NPI number is 8/1/2006 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	101YP2500X	Counselor	Professional	686-125	WISCONSIN	Yes
2	103TS0200X	Psychologist	School	K234000050327	WISCONSIN	X

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	39285200	MEDICAID	WISCONSIN

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: 4/28/2024

NPI Synchronization or Removal

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