NPI age
5 years
Enumerated 2020-08-18
● Active
Type 1 · Individual
Mary Koczyk, CBRS
Koczyk is 1 of 6 community health worker providers in Coeur D Alene and 1 of 192 in Idaho.
Primary specialty
Community Health Worker
Plus 1 subspecialty
Licensed in
—
0 states
Status
Active
No deactivations on record
Last NPPES update
2020-10-05
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 192 active community health worker providers in Idaho.
NPI age
5 years
State licenses
1 state
0% of peers hold multiple states
Subspecialties
1
In the 9% of peers with subspecialties
NPI lifetime · 2020 → 2026
2020-08Enumerated in NPPES
2020
2026
Where they practice
Practice location
2201 N Ironwood Pl
Coeur D Alene, ID 838142670
Mailing address
Po Box 1387
Hayden, ID 838351387
Specialties
-
Community Health Worker PrimaryCommunity health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language,...
-
Case Manager/Care CoordinatorA person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | CD2576341 | DRIVERS LICENSE |
Practice context
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.