Active NPI
Steven Koch, M.A., LPCC
- Professional Counselor
- Los Alamos, NM
National Provider Identifier
1124319231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0165781
- Practice address
- 1505 15TH St
Suite C
Los Alamos, NM 87544-3000 - Phone
- (505) 662-3264
- Fax
- (505) 662-9707
- NPI assigned
- Apr 22, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0165781 | NM | Primary |
Addresses
Primary practice location
1505 15TH St
Suite C
Los Alamos, NM 87544-3000
Mailing address
1505 15TH St
Suite C
Los Alamos, NM 87544-3000
Phone (505) 662-3264
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09727523 | Medicaid | NM |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0165781 | NM | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401753600000",
"number": "1124319231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1505 15TH ST",
"address_2": "SUITE C",
"city": "LOS ALAMOS",
"state": "NM",
"postal_code": "875443000",
"telephone_number": "505-662-3264",
"fax_number": "505-662-9707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1505 15TH ST",
"address_2": "SUITE C",
"city": "LOS ALAMOS",
"state": "NM",
"postal_code": "875443000",
"telephone_number": "505-662-3264",
"fax_number": "505-662-9707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOCH",
"first_name": "STEVEN",
"credential": "M.A., LPCC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-04-22",
"last_updated": "2014-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NM",
"license": "0165781",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "09727523",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Los Alamos, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.