Active NPI
Andrew Koch, LPC
- Professional Counselor
- Boulder, CO
National Provider Identifier
1699438457
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
- 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 and National Provider Directory roles.
-
- Counselor
- Boulder, CO
- NPI 1568287910
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.