Active NPI
Andrew Koch, LPC
- Professional Counselor
- Boulder, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0021828
- Practice address
- 2616 Juniper Ave Apt 7
Boulder, CO 80304-2468 - Phone
- (720) 776-9924
- NPI assigned
- Oct 19, 2021
- Last updated
- Jul 31, 2025
- Sex
- Male
- Sole proprietor
- No
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 | 0021828 | CO | Primary |
Addresses
Primary practice location
2616 Juniper Ave Apt 7
Boulder, CO 80304-2468
Mailing address
2616 Juniper Ave Apt 7
Boulder, CO 80304-2468
Phone (720) 776-9924
Other practice location 1
450 Alaskan Way S Ste 200
Seattle, WA 98104-2785
Phone (323) 205-7088
Other practice location 2
4710 Table Mesa Dr Ste B
Boulder, CO 80305-4504
Phone (720) 776-9924
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0021828 | CO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Contemplative Caregiver LLC | Counselor | Current | Accepting new patients |
Locations
4710 Table Mesa Dr
Ste B
Boulder, CO 80305
Phone (303) 499-9892
Organizations & group practices 1
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": "1634601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753920000000",
"number": "1699438457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2616 JUNIPER AVE APT 7",
"city": "BOULDER",
"state": "CO",
"postal_code": "803042468",
"telephone_number": "720-776-9924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2616 JUNIPER AVE APT 7",
"city": "BOULDER",
"state": "CO",
"postal_code": "803042468",
"telephone_number": "720-776-9924"
}
],
"practiceLocations": [
{
"address_1": "450 Alaskan Way S Ste 200",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981042785",
"country_code": "US",
"telephone_number": "323-205-7088",
"fax_number": "833-419-0181",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4710 Table Mesa Dr Ste B",
"address_purpose": "LOCATION",
"city": "Boulder",
"state": "CO",
"postal_code": "803054504",
"country_code": "US",
"telephone_number": "720-776-9924",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOCH",
"first_name": "ANDREW",
"name_prefix": "Mr.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-10-19",
"last_updated": "2025-07-31",
"certification_date": "2025-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "0021828",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.