Individual provider Active NPI

Hope Elizabeth Kochis, LLC

  • Professional Counselor
  • Gaylord, MI
National Provider Identifier
1114618279
Registry record updated May 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6451022761 Issued in MI
Practice address
128 N Court Ave
Gaylord, MI 49735-1408
Phone
(989) 448-8344
NPI assigned
May 18, 2023
Last updated
May 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6451022761 MI Primary

Addresses

Primary practice location

128 N Court Ave
Gaylord, MI 49735-1408

Mailing address

718 Maple St
Boyne City, MI 49712-1439
Phone (231) 383-2042

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250422001628 MI Practitioner - Mental Health Counselor 9335664432 Reassigns benefits to 1 organization
Practice locations: Traverse, MI

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4950 Silver Pines Rd
Traverse City, MI 49685-8886
Phone (231) 640-0297

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6451022761MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Old Town Psychological Services Single Specialty CurrentSince Mar 19, 2025 Accepting new patients
Old Town Psychological Services-Gaylord PastSince Mar 19, 2025 Accepting new patients

Locations

128 N Court Ave
Gaylord, MI 49735
Phone (989) 448-2328

512 S Union St
Traverse City, MI 49684
Phone (231) 941-6550

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1684368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1114618279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 MAPLE ST",
            "city": "BOYNE CITY",
            "state": "MI",
            "postal_code": "497121439",
            "telephone_number": "231-383-2042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 N COURT AVE",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497351408",
            "telephone_number": "989-448-8344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCHIS",
        "first_name": "HOPE",
        "middle_name": "ELIZABETH",
        "credential": "LLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-18",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6451022761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaylord, MI

Sources for this page

Verify at the official NPI Registry.