Stephanie Koch, LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CCMH0202931 Issued in NM

Practice address

195 East Rd Ste 104
Los Alamos, NM 87544-4301

Phone

(505) 412-7756

Fax

(505) 662-8859

NPI assigned

Jul 7, 2016

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)

Not 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.

• North Star Psychiatric Services LLC

  • Psychologist
  • Los Alamos, NM
  • NPI 1245945716
  NPD
• North Star Psychiatric Services, LLC

  • Child & Adolescent Psychiatry Physician
  • Los Alamos, NM
  • NPI 1316391063

  Mental Health

  NPD

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

{
    "created_epoch": "1467849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658448000000",
    "number": "1437501913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 EAST RD STE 104",
            "city": "LOS ALAMOS",
            "state": "NM",
            "postal_code": "875444301",
            "telephone_number": "505-412-7756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 EAST RD STE 104",
            "city": "LOS ALAMOS",
            "state": "NM",
            "postal_code": "875444301",
            "telephone_number": "505-412-7756",
            "fax_number": "505-662-8859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCH",
        "first_name": "STEPHANIE",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-07",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "CCMH0202931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert W Keenan, CFA
• Martha Kendall, M.D.
• Kids Dental Partners, LLC
• Kim Walker Therapy LLC
• James Gordon Knight, M.D.
• Steven Koch, M.A., LPCC
• Henry Christopher Koehn, PH.D., MSCP
• Mackenzie Koppi
• Jacqueline Anne Krohn, MD MPH
• Donald James Lacy, D.O.

• Mental Health Counselor in Los Alamos, NM
• Providers in Los Alamos, NM by specialty
• Mental Health Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.