LINDA KOENIG (NPI# 1902074933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902074933 |
| Entity Type | Individual |
| Full Name | LINDA KOENIG |
| Practice Address |
8310 Baxter Way Riverside CA 92504-4302 |
| Mailing Address |
8172 Magnolia Ave Riverside CA 92504-3441 |
| Practice Telephone | 9516899366 |
| Practice Fax Number | 9516899366 |
| Mailing Telephone | 9516899366 |
| Mailing Fax Number | 9513527374 |
| Enumeration Date | 2008-02-12 |
| Last Update Date | 2008-02-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 330015CN | CA | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DRUG-MEDICAL | 33352 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447546056 | Linda Koenig | Counselor | 9867 State Route 335, Minford, OH 45653-8983 | 2011-06-22 |
| Street Address |
8310 BAXTER WAY |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92504-4302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841358561 | Ywca Born Free | Counselor | 8310 Baxter Way, Riverside, CA 92504 | 2006-12-05 |
| 1366684292 | Spryng Duggan | Counselor | 8310 Baxter Way, Riverside, CA 92504-4302 | 2009-03-24 |
| 1326293952 | Darla Graham | Counselor | 8310 Baxter Way, Riverside, CA 92504-4302 | 2008-11-24 |
| 1619122256 | Misty Lyn Neville | Counselor | 8310 Baxter Way, Riverside, CA 92504-4302 | 2008-11-24 |
| 1669632295 | Rhonda Moore | Counselor | 8310 Baxter Way, Riverside, CA 92504-4302 | 2008-06-17 |
| 1659540441 | Mary Martin | Student in an Organized Health Care Education/Training Program | 8310 Baxter Way, Riverside, CA 92504-4302 | 2008-02-26 |
| 1952579682 | Theresa Robinson | Counselor | 8310 Baxter Way, Riverside, CA 92504-4302 | 2008-02-15 |
| 1528250107 | Dorothy Sarquist | Counselor | 8310 Baxter Way, Riverside, CA 92504-4302 | 2007-08-16 |
| 1487844452 | Jennifer M Battin | Counselor | 8310 Baxter Way, Riverside, CA 92504-4302 | 2007-07-26 |
| 1902096985 | Willistine Gaymon | Counselor | 8310 Baxter Way, Riverside, CA 92504-4302 | 2007-07-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417573676 | Chloe Ivana Licon | Marriage & Family Therapist | New Beginnings Residential Treatment Facilities, 2900 Adams St, Riverside, CA 92504 | 2020-06-23 |
| 1720628993 | Palm Lily LLC | Non-emergency Medical Transport (VAN) | 2900 Adams Street Suite A435, Riverside, CA 92504 | 2020-01-15 |
| 1538630959 | Just for Kids Pediatric Dentistry Raymond Wang | Dentist | 7071 Indiana Ave, Riverside, CA 92504 | 2018-12-11 |
| 1477047835 | Deborah Kay Allen | Peer Specialist | 6939 Morningside Ave, Riverside, CA 92504 | 2018-06-19 |
| 1255833794 | Adiana Loya | Student in an Organized Health Care Education/Training Program | 7550 Orchard St Apt #58, Riverside, CA 92504 | 2018-03-01 |
| 1023524162 | Chiara Heyer | Counselor | 4130 Adams St Ste B, Riverside, CA 92504 | 2017-12-27 |
| 1801313408 | Gustavo Gallo Avelar | Behavioral Analyst | 4125 Rucker Ln, Riverside, CA 92504 | 2017-08-24 |
| 1891226205 | Susana Herold | Assistant Behavior Analyst | 17460 Krameria Ave, Riverside, CA 92504 | 2017-03-27 |
| 1710356167 | Erandi Portugal | Counselor | 6711 Alrington Avenue, Riverside, CA 92504 | 2015-09-16 |
| 1548636012 | Candace Lauren Bynder | Counselor | 6711 Arlington Avenue, Riverside, CA 92504 | 2015-08-19 |
| Find all providers in zip 92504 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437794252 | Promising Outlook | Substance Abuse Rehabilitation Facility | 4136 10th St, Riverside, CA 92501-3110 | 2019-11-15 |
| 1508372186 | Whiteside Manor, Inc. | Substance Abuse Rehabilitation Facility | 2759 Orange St, Riverside, CA 92501-2538 | 2017-12-19 |
| 1487177374 | Everlast Recovery Centers Inc | Substance Abuse Rehabilitation Facility | 6560 Sandy Ln, Riverside, CA 92505-2028 | 2017-07-21 |
| 1841664885 | Jacqueline Garcia | Substance Abuse Rehabilitation Facility | 10371 Hole Ave, Riverside, CA 92505-1747 | 2015-11-13 |
| 1952706319 | House On The Corner LLC The | Substance Abuse Rehabilitation Facility | 2709 Orange St, Riverside, CA 92501-2538 | 2014-10-28 |
| 1578962114 | Bluestone Recovery, Inc. | Substance Abuse Rehabilitation Facility | 1660 Chicago Ave Ste M11, Riverside, CA 92507-2033 | 2014-08-20 |
| 1053724716 | 10 Acre Ranch | Substance Abuse Rehabilitation Facility | 8605 Janet Ave, Riverside, CA 92503-9212 | 2014-06-10 |
| 1598002123 | Big Bear Recovery Center | Substance Abuse Rehabilitation Facility | 16891 Alita Dr, Riverside, CA 92504-6209 | 2013-01-16 |
| 1376714048 | Mfi Recovery Center | Substance Abuse Rehabilitation Facility | 9999 County Farm Rd, Riverside, CA 92503-3506 | 2008-03-20 |
| 1285802165 | Pavisch Treatment Centers, LLC | Substance Abuse Rehabilitation Facility | 4241 Glenwood Dr, Riverside, CA 92501-3027 | 2008-02-13 |
| Find all providers in RIVERSIDE | ||||
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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.