LANCE KOENIG (NPI# 1275080889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275080889 |
| Entity Type | Individual |
| Full Name | LANCE KOENIG |
| Credential | ED.S. |
| Practice Address |
820 North Washington Ave Plec Dakota State University Madison SD 57042 |
| Practice Telephone | 6052565555 |
| Mailing Telephone | 6052565555 |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
72674-0 | SD | Behavioral Health & Social Service Providers |
| Street Address |
820 NORTH WASHINGTON AVE PLEC DAKOTA STATE UNIVERSITY |
| City | MADISON |
| State | SD |
| Zip Code | 57042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316493042 | Renae Christensen | Psychologist | 820 N. Washington Ave., Madison, SD 57042 | 2016-09-01 |
| 1699145532 | Counseling Associates, Alla Jones | Counselor | 726 S. Washington Ave., Madison, SD 57042 | 2015-10-05 |
| 1619222080 | Laura Elizabeth Larsen | Occupational Therapist | 917 North Washington, Madison, SD 57042 | 2012-07-20 |
| 1639470925 | Jessica Rogers | Physical Therapy Assistant | 416 South Harth Ave., Madison, SD 57042 | 2010-11-03 |
| 1093924169 | Bradley Dale Gilbert | Specialist/Technologist | 1302 N Washington Ave, Madison, SD 57042 | 2007-05-22 |
| 1659420073 | Every Citizen Counts Organization | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 706 Sw 7th St, Madison, SD 57042 | 2007-01-09 |
| 1912076985 | Larry Paul Green Sr. | Dentist | 102 N Egan Ave, Madison, SD 57042 | 2006-11-06 |
| 1306854062 | Michael Steven Brooke | Optometrist | 302 N Harth Avenue, Madison, SD 57042 | 2006-08-04 |
| 1336118181 | Douglas J Caron | Chiropractor | 120 Nw 2nd St, Madison, SD 57042 | 2006-03-15 |
| 1184279036 | Madison Family Dental Prof LLC | Dentist | 502 Ne 2nd St, Madison, SD 57042 | 2019-08-07 |
| Find all providers in zip 57042 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275006843 | Comer Gaither | Psychologist | 60 School Board Ct, Madison, VA 22727-3096 | 2019-01-07 |
| 1912445834 | Katherine Wilds Price | Psychologist | 643 Blackstone Ave, Madison, TN 37115-4103 | 2017-02-11 |
| 1316493042 | Renae Christensen | Psychologist | 820 N. Washington Ave., Madison, SD 57042 | 2016-09-01 |
| 1265985774 | Penny Petrik | Psychologist | 820 N Washington Ave, Heartland Building, Madison, SD 57042-1735 | 2016-08-02 |
| 1952503658 | Caroline N Racine Gilles | Psychologist | 5600 Medical Cir, Madison, WI 53719-1243 | 2007-06-04 |
| 1902430465 | Taylor Newman | Psychologist | 303 S Paterson St Ste 1a, Madison, WI 53703-4534 | 2020-02-24 |
| 1518415454 | Cara Sommerlot | Psychologist | 820 N Washington Ave, Madison, SD 57042-1735 | 2016-09-20 |
| 1568833598 | Constance Murray | Psychologist | 69 Avenue B, Madison, WV 25130-1162 | 2015-10-16 |
| 1316133606 | Linda Ruth Nickerson | Psychologist | 147 Durham Rd, Madison, CT 06443-2675 | 2007-09-20 |
| 1699979096 | Carol A. Wilson | Psychologist | 5600 Medical Cir, Madison, WI 53719-1243 | 2007-06-12 |
| Find all providers in MADISON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.