Aubrey Jacqueline Koch, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

88470 Issued in CA

Practice address

2120 Colorado Blvd Ste 2
Los Angeles, CA 90041-1255

Phone

(800) 562-6382

NPI assigned

Aug 28, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Dec 20, 2023 through Dec 20, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Pas Counseling Licensed Clinical Social Worker Inc

  • Adult Mental Health Clinic/Center
  • Pasadena, CA
  • NPI 1821800178
  NPD Authorized official

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

{
    "created_epoch": "1377648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641168000000",
    "number": "1700210531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 781242",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900169242",
            "telephone_number": "213-224-9466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 COLORADO BLVD STE 2",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900411255",
            "telephone_number": "800-562-6382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCH",
        "first_name": "AUBREY",
        "middle_name": "JACQUELINE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-28",
        "last_updated": "2022-01-03",
        "certification_date": "2021-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "88470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Andrew Kobner, MD
• Yukiko Kobori, NP
• Serge S Kobsa, M.D., PH.D.
• Natalie Kocab
• Anne M Koch, MD
• Brandon Michael Koch
• Colleen Koch, LMFT
• John Koch
• Karli Koch
• Matthew Stuart Koch, AMFT

• Clinical Social Worker in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.