Henry Thomas Koch III, PH.D.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0810001860 Issued in VA

Practice address

8140 Ashton Ave
Suite 200
Manassas, VA 20109-2894

Phone

(703) 330-9933

Fax

(703) 368-8454

NPI assigned

Jul 12, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

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.

• Prince Wiliam Family Counseling, PC

  • Mental Health Counselor
  • Manassas, VA
  • NPI 1326102799
  NPD (past) Authorized official
• Prince William Family Counseling, P.C.

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Manassas, VA
  • NPI 1316024425
  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194998400000",
    "number": "1487679585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8140 ASHTON AVE",
            "address_2": "SUITE 200",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201092894",
            "telephone_number": "703-330-9933",
            "fax_number": "703-368-8454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8140 ASHTON AVE",
            "address_2": "SUITE 200",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201092894",
            "telephone_number": "703-330-9933",
            "fax_number": "703-368-8454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCH",
        "first_name": "HENRY",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0810001860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7705981",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca C Knerr, PA
• Bradford Knight, MD
• Carrie Trogdon Knox, LPC
• Roberta Hope Knussman, LCSW
• Andrew Koch, CRNA
• Louis I. Koff, D.C.
• Tara B Koff, D.C.
• Smriti Koirala
• Aruna Radha Mani Kola, M.D.
• Lindsay Marie Koleny, OTR/L

• Mental Health Counselor in Manassas, VA
• Providers in Manassas, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; 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.