KATHERINE KONCILJA M.A., LPCC - NPI 1831410869

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YP2500X and a focus in Professional.

On this page

About Katherine Koncilja M.a., Lpcc NPPES

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

KATHERINE KONCILJA M.A., LPCC (NPI 1831410869) is an individual professional provider in Avon Lake, Ohio, licensed in Ohio (E1000011) and active in the NPI registry since June 2010. She maintains a secondary practice location in Avon Lake.

NPPES Registry Identity

NPI1831410869

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameKATHERINE KONCILJACredential: M.A., LPCC

Location Address215 MILLER RD STE 7Avon Lake, OH 44012-1013

Mailing Address215 Miller Rd Ste 7Avon Lake, OH 44012-1013 · (440) 742-1661 · Fax (440) 653-9576

Phone(440) 742-1661

Fax(440) 653-9576

Sole ProprietorYes

Enumeration DateJune 14, 2010

Last NPPES UpdateDecember 19, 2019

✔ NPI 1831410869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in OH · E1000011

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 090037 (OH)

215 MILLER RD STE 7, Avon Lake, OH 44012

Open in Google Maps ↗

Secondary Practice Location 1

Location 1223 Miller RdAvon Lake, OH 44012-1004 · Phone (440) 742-1661 · Fax (440) 930-2085

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual and more.Insurance ›