A Elizabeth Koch, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

47 823 Issued in MS

Practice address

2486 Pass Rd
Biloxi, MS 39531-2838

Phone

(228) 388-6006

Fax

(228) 388-6027

NPI assigned

Aug 20, 2006

Last updated

Sep 29, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Dr. Agnes Elizabeth Koch Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Previously, effective Oct 1, 2016 through Oct 1, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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

• Daniel J Vujnovich PLLC

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  • Biloxi, MS
  • NPI 1639450810
  NPD (past)
• Nursing Home Psychological Services, LLC

  • Psychologist
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  • NPI 1295952992
  NPD (past)
• Mobile Psychological, LLC

  • Clinical Psychologist
  • Mobile, AL
  • NPI 1992965313
  NPD (past)
• Nursing Home Psychological Services LLC

  • Clinical Psychologist
  • Dadeville, AL
  • NPI 1053545350
  NPD (past)
• Nursing Home Psychological Services of Louisiana LLC

  • Clinical Psychologist
  • Slidell, LA
  • NPI 1073747374
  NPD (past)

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1043325764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2486 PASS RD",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395312838",
            "telephone_number": "228-388-6006",
            "fax_number": "228-388-6027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2486 PASS RD",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395312838",
            "telephone_number": "228-388-6006",
            "fax_number": "228-388-6027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCH",
        "first_name": "A",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MS",
            "license": "47 823",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AL",
            "license": "522",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51521901",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AGNES",
            "last_name": "KOCH",
            "middle_name": "ELIZABETH",
            "prefix": "DR.",
            "credential": "PHD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Cherie Diane Knight, M.D.
• Joel M Knight, M.D.
• Lakierria Shante Knight, PMHNP
• Eliza Macrery Knudsen, NP-C
• Stacy N Knutson, PA-C
• Elizabeth Gwin Koestler, PHARMD
• Stephanie Renae Koplitz
• Alexandra Koroscil, FNP-C
• Paul Leo Kostmayer, RN
• Adam Krause

• Clinical Psychologist in Biloxi, MS
• Providers in Biloxi, MS by specialty
• Clinical Psychologist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.