Amanda Grettie Koch, MT-BC, WMTR

Primary specialty

Music TherapistTaxonomy code 225A00000X

Practice address

1125 James Dr
Hartland, WI 53029-8367

Phone

(262) 637-6663

Fax

(262) 367-3056

NPI assigned

Mar 14, 2024

Sex

Female

Sole proprietor

Yes

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

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.

• Music Therapy Services of Waukesha County, LLC

  • Clinic/Center
  • Hartland, WI
  • NPI 1669566832
  NPD (past)

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

{
    "created_epoch": "1710374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1528827532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W60N319 HILBERT AVE",
            "city": "CEDARBURG",
            "state": "WI",
            "postal_code": "530122401",
            "telephone_number": "262-573-7367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 JAMES DR",
            "city": "HARTLAND",
            "state": "WI",
            "postal_code": "530298367",
            "telephone_number": "262-637-6663",
            "fax_number": "262-367-3056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCH",
        "first_name": "AMANDA",
        "middle_name": "GRETTIE",
        "credential": "MT-BC, WMTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-14",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225A00000X",
            "taxonomy_group": "",
            "desc": "Music Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Kamsler
• Kayla Johnson LLC
• Zoe Elizabeth Kearney
• Beth G Keefe, M.D.
• Fawad Khan, MD
• Alyse Kolstad
• Karen Korpela, LPC IT
• Terese Kraemer
• Jessica Marie Kretlow
• Krin Kramer Psychotherapy

• Music Therapist in Hartland, WI
• Providers in Hartland, WI by specialty
• Music Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; 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.