AMELIA RAE KOETHEN MHC - NPI 1003463001

Q: What is Amelia Koethen's NPI number?

The NPI number for Amelia Koethen is 1003463001. It was assigned to this individual provider in the NPPES registry on August 23, 2019.

Q: What is Amelia Koethen's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Amelia Koethen was last updated on August 23, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Amelia Rae Koethen Mhc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMELIA RAE KOETHEN MHC (NPI 1003463001) is an individual mental health provider in Albany, New York, licensed in New York (P101516) and active in the NPI registry since August 2019.

NPPES Registry Identity

NPI1003463001

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameAMELIA RAE KOETHENCredential: MHC

Location Address391 MYRTLE AVE STE 3AAlbany, NY 12208-3797

Mailing Address391 Myrtle Ave Ste 3aAlbany, NY 12208-3797 · (518) 262-2700

Phone(518) 262-2700

Sole ProprietorNo

Enumeration DateAugust 23, 2019

✔ NPI 1003463001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in NY · P101516

391 MYRTLE AVE STE 3A, Albany, NY 12208

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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAUREN NOELLE FINKE MHC LIMITED PERMIT

Counselor (Mental Health)