MRS. KATHLEEN D. KOONTZ (NPI# 1295160307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295160307 |
| Entity Type | Individual |
| Full Name | MRS. KATHLEEN D. KOONTZ |
| Credential | LPCMH |
| Practice Address |
260 Chapman Road 100 B Newark DE 19702 |
| Mailing Address |
130 Boyer Dr Newark DE 19702-2891 |
| Practice Telephone | 3022921334 |
| Mailing Telephone | 3024420342 |
| Enumeration Date | 2013-09-08 |
| Last Update Date | 2013-09-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
PC-0000646 | DE | Behavioral Health & Social Service Providers |
| Street Address |
260 CHAPMAN ROAD 100 B |
| City | NEWARK |
| State | DE |
| Zip Code | 19702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407467814 | Leilanie Redondiez | Physical Therapist | 110 Blue Ridge Circle, Newark, DE 19702 | 2020-08-11 |
| 1285118679 | A Center for Mental Wellness Community Support Programs, LLC | Substance Abuse Rehabilitation Facility | 25 S. Old Baltimore Pike, Lafayette Building 1, Suite 201, Newark, DE 19702 | 2018-09-20 |
| 1124510854 | Shena Williams | Counselor | 1423 Capital Trail Rd, Newark, DE 19702 | 2018-05-30 |
| 1437664737 | Excellence Home Care LLC | Home Health | 122 Delaware Street, New Castle, DE 19702 | 2017-12-08 |
| 1710496773 | Kirt Leigh Randolph | Physical Therapy Assistant | 229 Barrett Run Place, Newark, DE 19702 | 2017-09-21 |
| 1871014399 | Edeline Elicin | Marriage & Family Therapist | 260 Chapman Road, Suite 100-b, Newark, DE 19702 | 2017-07-06 |
| 1831646454 | Rickia Izetta Spivey-kennedy | Counselor | 36 Avignon Drive, Newark, DE 19702 | 2016-09-01 |
| 1134585748 | Thomas Wolters | Pharmacist | 248 Chaoman Road, Newark, DE 19702 | 2016-01-12 |
| 1851700686 | Candice Roberts | Nurse Practitioner | 100 Biddle Ave Ste 101, Newark, DE 19702 | 2014-08-06 |
| 1316367428 | Evyline Chioma | Occupational Therapist | 25 Buttonwood Ct., Newark, DELAWARE 19702 | 2014-04-16 |
| Find all providers in zip 19702 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811502115 | Jaclyn Marie Tomasetti | Counselor | 5 Cognac Dr, Newark, DE 19702-5507 | 2020-09-14 |
| 1770195422 | Emily S Moley | Counselor | 125 Blossom Rd, Newark, NY 14513-2010 | 2020-08-23 |
| 1871104000 | Jump Kids LLC | Counselor | 16 Foster St, Newark, NJ 07114-1327 | 2020-08-11 |
| 1326665480 | Deandra Guzman | Counselor | 431-435 18th Avenue, Newark, NJ 07108 | 2020-07-06 |
| 1992328587 | Steven Forrester Coleman Sr. | Counselor | 276 E Main St Ste 203, Newark, DE 19711-7356 | 2020-05-18 |
| 1851912620 | Shaista Sowell | Counselor | 162 Clinton Pl, Newark, NJ 07112-1602 | 2020-05-02 |
| 1861024838 | Judith Benedict Pantalino | Counselor | 950 Library Avenue, Suite 104, Newark, DE 19711 | 2020-02-07 |
| 1275173049 | Ibn Abdush Musa Ahmad | Counselor | 182 Johnson Ave, Newark, NJ 07108-2709 | 2020-01-09 |
| 1629617303 | Alyana Blythe | Counselor | 262 Chapman Rd Bldg Suite100, Newark, DE 19702-5448 | 2019-12-30 |
| 1194364141 | Healing Source LLC | Counselor | 35 Wenark Dr Apt 2, Newark, DE 19713-1445 | 2019-12-21 |
| Find all providers in NEWARK | ||||
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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.