Jennifer Lynn Koch, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY60313526 Issued in WA

Practice address

111 Tumwater Blvd SE Ste C213
Tumwater, WA 98501-6400

Phone

(360) 706-2674

Fax

(360) 634-3565

NPI assigned

Jan 17, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Jennifer Koch, Psy.D., PLLC

  • Psychologist
  • Tumwater, WA
  • NPI 1184355562
  NPD Authorized official

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

{
    "created_epoch": "1358380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655424000000",
    "number": "1407194970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 TUMWATER BLVD SE STE C213",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985016400",
            "telephone_number": "360-706-2674",
            "fax_number": "360-634-3565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 TUMWATER BLVD SE STE C213",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985016400",
            "telephone_number": "360-706-2674",
            "fax_number": "360-634-3565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCH",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-17",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY60313526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martha Kliem, RPH
• Hana Jazz Klimek, PEER COUNSELOR
• Mindi Knudson, OTR/L
• Erin Knutson, LMP
• Erin L Koch - Propp, CIWS, ACC
• Kondition LLC
• Julia Caitlin Kosater
• Cinnamon Krall
• Frank Joseph Krause, DC
• James D. Krieger, L.M.P.

• Clinical Psychologist in Tumwater, WA
• Providers in Tumwater, WA by specialty
• Clinical Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.