Individual provider Active NPI

Michael Kotch, MA, LPC, NCC

  • Professional Counselor
  • Virginia Beach, VA
National Provider Identifier
1669832036
Registry record updated Dec 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701010899 Issued in VA
Practice address
3419 Virginia Beach Blvd # 219
Virginia Beach, VA 23452-4419
Phone
(757) 585-3273
NPI assigned
Feb 29, 2016
Last updated
Dec 29, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 37PC00637400 NJ
Professional Counselor 101YP2500X 0701010899 VA Primary

Addresses

Primary practice location

3419 Virginia Beach Blvd # 219
Virginia Beach, VA 23452-4419

Mailing address

3419 Virginia Beach Blvd # 219
Virginia Beach, VA 23452-4419
Phone (757) 585-3273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260216002252 VA Practitioner - Mental Health Counselor 7810477254 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

809 Kent PL
Chesapeake, VA 23320-0768
Phone (757) 436-0605

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
37PC00637400NJMDProfessional Counselor
0701010899VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of Virginia, Inc. CurrentSince Jan 7, 2026 Accepting new patients
Optum Behavioral Care of Virginia, Inc. CurrentSince Jan 7, 2026 Accepting new patients

Locations

809 Kent Pl
Chesapeake, VA 23320
Phone (757) 436-0605

7760 Shrader Rd
#B
Richmond, VA 23228
Phone (804) 591-0002

Interoperability endpoints

  • Direct secure messaging: commonwealthcounselingassociates.michaelkotch@134000.advancedmd-direct.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1456704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735430400000",
    "number": "1669832036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3419 VIRGINIA BEACH BLVD # 219",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234524419",
            "telephone_number": "757-585-3273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3419 VIRGINIA BEACH BLVD # 219",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234524419",
            "telephone_number": "757-585-3273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTCH",
        "first_name": "MICHAEL",
        "credential": "MA, LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-02-29",
        "last_updated": "2024-12-29",
        "certification_date": "2024-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00637400",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701010899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.