Active NPI
Philip Jordan Koch, PLPC
- Mental Health Counselor
- Kansas City, MO
National Provider Identifier
1093089682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 2012003620
- Practice address
- 8150 Wornall Rd
Kansas City, MO 64114-5806 - Phone
- (816) 508-3500
- Fax
- (816) 508-3535
- NPI assigned
- Feb 29, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 2012003620 | MO | Primary |
Addresses
Primary practice location
8150 Wornall Rd
Kansas City, MO 64114-5806
Mailing address
8150 Wornall Rd
Kansas City, MO 64114-5806
Phone (816) 508-3500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2012003620 | MO | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gillis Center, Inc. | Past | Accepting new patients | |
| Cornerstones of Care | Mental Health | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Mental Illness Community Based Residential Treatment Facility
- Kansas City, MO
- NPI 1720447212
Mental Health
-
- Mental Illness Community Based Residential Treatment Facility
- Kansas City, MO
- NPI 1881664365
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330473600000",
"number": "1093089682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8150 WORNALL RD",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641145806",
"telephone_number": "816-508-3500",
"fax_number": "816-508-3535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8150 WORNALL RD",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641145806",
"telephone_number": "816-508-3500",
"fax_number": "816-508-3535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOCH",
"first_name": "PHILIP",
"middle_name": "JORDAN",
"name_prefix": "Mr.",
"credential": "PLPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-02-29",
"last_updated": "2012-02-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MO",
"license": "2012003620",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.