Individual provider Active NPI

Andrew Koch, LPC

  • Professional Counselor
  • Boulder, CO
National Provider Identifier
1699438457
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0021828 Issued in CO
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

Updated by the provider on Jul 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
0021828COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Contemplative Caregiver LLC Counselor CurrentSince Nov 24, 2024 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.

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.

Verify at the official NPI Registry.