TISHA LEE KOEN
NPI 1235778465
Peer Specialist in Eureka, CA

Active since January 06, 2020

NPPES record last updated: January 6, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tisha Lee Koen NPPES

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

TISHA LEE KOEN (NPI 1235778465) is an individual peer specialist in Eureka, California and active in the NPI registry since January 2020.

NPPES Registry Identity

NPI1235778465
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameTISHA LEE KOEN
Location Address2933 H STEureka, CA 95501-4407
Mailing Address336 W Sonoma StEureka, CA 95501-2818 · (707) 382-8893
Sole ProprietorYes
Enumeration DateJanuary 6, 2020
NPI 1235778465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

2933 H ST, Eureka, CA 95501

Other Providers at the Same Location NPPES 2

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

Community/Behavioral Health
2933 H ST
EUREKA, CA 95501
Case Manager/Care Coordinator
2933 H ST
EUREKA, CA 95501

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tisha Koen's NPI number?

The NPI number for Tisha Koen is 1235778465. It was assigned to this individual provider in the NPPES registry on January 6, 2020.

Where is Tisha Koen located?

Tisha Koen practices at 2933 H St, Eureka, CA 95501. The listed phone number is (707) 441-3783.

What is Tisha Koen's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Tisha Koen was last updated on January 6, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.