1. Home
  2. Directory
  3. California
  4. Glendora
  5. Counselor
  6. NPI Profile

NICHOLAS ROBERT KOONTZ M.S.
NPI 1821301292
Counselor - Mental Health in Glendora, CA

Active since July 14, 2010PECOS Enrolled
2200 E ROUTE 66, GLENDORA, CA 91740(626) 859-2089(626) 859-6537 Get Directions Write a Review

NPPES record last updated: October 19, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Nicholas Robert Koontz M.s. NPPES

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

NICHOLAS ROBERT KOONTZ M.S. (NPI 1821301292) is an individual mental health provider in Glendora, California, licensed in California (IMF68820) and active in the NPI registry since July 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821301292
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameNICHOLAS ROBERT KOONTZCredential: M.S.
Location Address2200 E ROUTE 66Glendora, CA 91740-4659
Mailing Address2200 E Route 66Glendora, CA 91740-4659 · (626) 859-2089 · Fax (626) 859-6537
Phone(626) 859-2089
Fax(626) 859-6537
Sole ProprietorNo
Enumeration DateJuly 14, 2010
Last NPPES UpdateOctober 19, 2015
✔ NPI 1821301292 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 CA · IMF68820
2200 E ROUTE 66, Glendora, CA 91740
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicholas Robert Koontz M.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Nicholas Koontz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Meridian Counseling
36 mi
Marriage & Family Therapist
11835 W OLYMPIC BLVD STE 815E
Los Angeles, CA 90064
  • Reassigned Medicare billing, California enrollment
  • 79 clinicians in this Medicare group
NPI 1396202206 (323) 332-9905

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 18

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

IRENE MARTINEZ
Rehabilitation Practitioner
2200 E ROUTE 66
GLENDORA, CA 91740
Los Angeles County (626) 859-2089
MR. JOE ANTONIO MUGLIA
Rehabilitation Practitioner
2200 E ROUTE 66, SUITE #100
GLENDORA, CA 91740
Los Angeles County (626) 859-2089
BRENDA A RODRIGUEZ
Rehabilitation Practitioner
2200 E ROUTE 66
GLENDORA, CA 91740
Los Angeles County (626) 859-2089
MR. STEPHEN BEDE FLORES JR.
Rehabilitation Practitioner
2200 E ROUTE 66
GLENDORA, CA 91740
Los Angeles County (626) 859-2089
MR. JOAQUIN ALFARO BA
Rehabilitation Practitioner
2200 E ROUTE 66
GLENDORA, CA 91740
Los Angeles County (626) 859-2089
MS. IRENE SU
Marriage & Family Therapist
2200 E ROUTE 66
GLENDORA, CA 91740
Los Angeles County (626) 859-2089
MARISSA SCHOLEFIELD
Rehabilitation Practitioner
2200 E ROUTE 66, STE 100
GLENDORA, CA 91740
Los Angeles County (626) 859-2089
DAISY OSORIO-LUNA MA
Rehabilitation Practitioner
2200 E ROUTE 66, SUITE 100
GLENDORA, CA 91740
Los Angeles County (626) 384-1573

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 Nicholas Koontz's NPI number?

The NPI number for Nicholas Koontz is 1821301292. It was assigned to this individual provider in the NPPES registry on July 14, 2010.

Where is Nicholas Koontz located?

Nicholas Koontz practices at 2200 E Route 66, Glendora, CA 91740. The listed phone number is (626) 859-2089.

What is Nicholas Koontz's specialty?

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

Is Nicholas Koontz enrolled in Medicare?

Yes. Nicholas Koontz is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nicholas Koontz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Koontz reassigns Medicare benefits to Meridian Counseling (Los Angeles, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicholas Koontz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicholas Koontz accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah and Select Health list Nicholas Koontz as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nicholas Koontz was last updated on October 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.