Individual provider Active NPI

John F Koch, M.A., LMHC

  • Mental Health Counselor
  • Kirkland, WA
National Provider Identifier
1033564570
Registry record updated May 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH60634995 Issued in WA
Practice address
13642 103Rd Ave NE
Kirkland, WA 98034-2045
Phone
(425) 273-6379
NPI assigned
May 3, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH60634995 WA Primary

Addresses

Primary practice location

13642 103Rd Ave NE
Kirkland, WA 98034-2045

Mailing address

13642 103Rd Ave NE
Kirkland, WA 98034-2045
Phone (425) 273-6379

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 1, 2024 through Jul 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LH60634995WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lutheran Counseling Network Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1462233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462233600000",
    "number": "1033564570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13642 103RD AVE NE",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980342045",
            "telephone_number": "425-273-6379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13642 103RD AVE NE",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980342045",
            "telephone_number": "425-273-6379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCH",
        "first_name": "JOHN",
        "middle_name": "F",
        "credential": "M.A., LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-03",
        "last_updated": "2016-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60634995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

Verify at the official NPI Registry.