Mariah Koons, LISP is a
Psychologist - School based in Johnstown, Ohio. Mariah Koons is licensed to practice in Ohio (license number SP.00716) and her current practice location is
333 W Coshocton St, Johnstown, Ohio. She can be reached at her office (for appointments etc.) via phone at
(740) 403-3053.
NPI number for Mariah Koons is 1720764723 and her current mailing address is 101 Springview Ct, Granville, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1720764723.
Healthcare Provider's Profile
Full Name | Mariah Koons |
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Gender | Female |
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Speciality | Psychologist - School |
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Location | 333 W Coshocton St, Johnstown, Ohio |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1720764723
- Provider Enumeration Date: 06/23/2023
- Last Update Date: 06/23/2023
Medical Identifiers
Medical identifiers for Mariah Koons such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1720764723 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TS0200X | Psychologist - School | SP.00716 (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mariah Koons is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mariah Koons, LISP 101 Springview Ct, Granville, OH 43023-8006 Ph: (740) 403-3053 | Mariah Koons, LISP 333 W Coshocton St, Johnstown, OH 43031-1112 Ph: (740) 403-3053 |
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