MS. MARY ELIZABETH KOON (NPI# 1780773879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780773879 |
Entity Type | Individual |
Full Name | MS. MARY ELIZABETH KOON |
Credential | RN MED LADC |
Practice Address |
2013 Elm St Pastoral Counseling Services Manchester NH 03104 |
Mailing Address |
62 Woodbury Rd New Boston NH 03070 |
Practice Telephone | 6036272702 |
Practice Fax Number | 6036273643 |
Mailing Telephone | 6034872732 |
Enumeration Date | 2006-10-12 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
035 | NH | Behavioral Health & Social Service Providers |
X | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
01976321 | NH | Nursing Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114175825 | Mary Jane Koon | Nurse Practitioner | 1430 San Julian St, Nursing Services Building 2, Los Angeles, CA 90015-3142 | 2008-09-05 |
Street Address |
2013 ELM ST PASTORAL COUNSELING SERVICES |
City | MANCHESTER |
State | NH |
Zip Code | 03104 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851350268 | Carol Knieriem | Social Worker | 2013 Elm St, Pastoral Counseling Services, Manchester, NH 03104-2528 | 2006-03-23 |
1508405515 | Kenneth Robertson | Counselor | 2013 Elm St, Manchester, NH 03104-2528 | 2019-12-23 |
1780163493 | Sujeong Shin | Social Worker | 2013 Elm St, Manchester, NH 03104-2528 | 2018-08-13 |
1235618703 | Melissa Marie Grudinski | Counselor | 2013 Elm St, Manchester, NH 03104-2528 | 2018-08-07 |
1225221120 | Lisa E Gold | Counselor | 2013 Elm St, Manchester, NH 03104-2528 | 2007-08-23 |
1811029978 | Dianne Terese Philion | Social Worker | 2013 Elm St, Manning House, Manchester, NH 03104-2528 | 2007-03-12 |
1760524193 | Mary J Yost | Counselor | 2013 Elm St, Manchester, NH 03104-2528 | 2007-02-13 |
1851469068 | David B. Reynolds | Counselor | 2013 Elm St, Manning House, Manchester, NH 03104-2528 | 2006-12-04 |
1205904703 | Stephanie Kate Williston | Psychologist | 2013 Elm St, Pastoral Counseling Services, Manchester, NH 03104-2528 | 2006-12-01 |
1477636546 | Emily Bernice Geoghegan | Psychologist | 2013 Elm St, Manchester, NH 03104-2528 | 2006-10-23 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730675562 | Hannah E Boutselis | Nurse Practitioner | 1750 Elm St., Suite 201a, Manchester, NH 03104 | 2018-07-04 |
1366948770 | Families In Transition | Counselor | 15 Brook St, Manchester, NH 03104 | 2018-04-04 |
1528586872 | Nicole Mitchell | Physical Therapy Assistant | 235 Myrtle St., Manchester, NH 03104 | 2017-09-07 |
1851819270 | Community House Calls LLC | Contractor | 497 Hooksett Road, 232, Manchester, NH 03104 | 2017-09-06 |
1407207533 | Brianna Cassidy | Specialist/Technologist | 62 Jonathan Ln, Manchester, NH 03104 | 2016-06-30 |
1477926871 | Anthony Macri | Skilled Nursing Facility | 524 Blevens Dr., Manchester, NH 03104 | 2015-11-06 |
1225412935 | Families In Transition | Counselor | 136 Lowell St, Manchester, NH 03104 | 2015-07-13 |
1386036622 | Phoenix Rising Counseling Services, LLC | Counselor | 114 Bay Street, Suite A, Manchester, NH 03104 | 2015-02-24 |
1366795767 | Alicia M. Kleczkowski | Nurse Practitioner | 57 Webster St., Manchester, NH 03104 | 2012-10-23 |
1356615710 | Laurie Lagasse | Physical Therapy Assistant | 44 West Webster St, Manchester, NH 03104 | 2012-03-02 |
Find all providers in zip 03104 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841891843 | Faithanne Blue | Counselor | 60 Rogers St Unit 1, Manchester, NH 03103-5070 | 2020-11-05 |
1073129367 | Deborah Lynn Bowles-lee | Counselor | 1541 Sainville Rd, Manchester, TN 37355-6248 | 2020-09-22 |
1477199081 | Helping Hands Outreach Ministries, Inc. | Counselor | 50 Lowell St, Manchester, NH 03101-1635 | 2019-11-19 |
1710538673 | Samantha Corinne Boutsianis | Counselor | 206 Jewett St Apt 2b, Manchester, NH 03103-2879 | 2019-09-23 |
1306493531 | Mackenzie Ryan Seely | Counselor | 293 Wilson Street, 3rd Floor, Manchester, NH 03103-5021 | 2019-08-22 |
1174178743 | Melissa Ann Kimball | Counselor | 60 Rogers St Unit 204, Manchester, NH 03103-5070 | 2019-08-09 |
1871145086 | Healthy Solutions | Counselor | 643 Main Street, Manchester, CT 06084 | 2019-07-09 |
1629639034 | Mano-en-mano Hand In Hand,llc | Counselor | 843 Main St Ste 10, Manchester, CT 06040-6041 | 2019-06-26 |
1619432994 | Michelle Lee Poulin | Counselor | 303 Belmont St, Manchester, NH 03103-4311 | 2019-01-31 |
1770056632 | Joan Catharine Sementa | Counselor | Sununu Youth Center, 1056 River Road, Manchester, NH 03104-0305 | 2019-01-03 |
Find all providers in MANCHESTER |
City | MANCHESTER |
Zip Code | 03104 |
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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.