Active NPI
Shelly Dee Koch, M.A. L.P.C.
- Professional Counselor
- Camp Hill, PA
National Provider Identifier
1649324229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC004157
- Practice address
- 503 N 21St St
Camp Hill, PA 17011-2204 - Phone
- (717) 972-4793
- Fax
- (717) 972-4172
- NPI assigned
- Jan 22, 2007
- Sex
- Female
- 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 | PC004157 | PA | Primary |
Addresses
Primary practice location
503 N 21St St
Camp Hill, PA 17011-2204
Mailing address
917 Scottish CT
Mechanicsburg, PA 17050-1809
Phone (717) 972-4793
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 |
|---|---|---|---|
| PC004157 | PA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188864000000",
"number": "1649324229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "917 SCOTTISH CT",
"city": "MECHANICSBURG",
"state": "PA",
"postal_code": "170501809",
"telephone_number": "717-972-4793",
"fax_number": "717-972-4172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "503 N 21ST ST",
"city": "CAMP HILL",
"state": "PA",
"postal_code": "170112204",
"telephone_number": "717-972-4793",
"fax_number": "717-972-4172"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOCH",
"first_name": "SHELLY",
"middle_name": "DEE",
"name_prefix": "Miss",
"credential": "M.A. L.P.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-22",
"last_updated": "2007-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC004157",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Camp Hill, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.