Nicole Koch

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401019109 Issued in MI

Practice address

421 S University Ave
Mount Pleasant, MI 48858-3147

Phone

(616) 617-5122

NPI assigned

Oct 14, 2020

Last updated

Apr 19, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nicole Koch Counseling LLC

  • Professional Counselor
  • Mt Pleasant, MI
  • NPI 1336854694
  NPD
• New Mind Counseling Services, LLC

  • Clinical Social Worker
  • Mt Pleasant, MI
  • NPI 1336795533
  NPD (past)

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

{
    "created_epoch": "1602633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618790400000",
    "number": "1720686454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 S UNIVERSITY AVE",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488583147",
            "telephone_number": "616-617-5122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 S UNIVERSITY AVE",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488583147",
            "telephone_number": "616-617-5122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCH",
        "first_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-14",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401019109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward Robert Klein, D.D.S.
• Kathy Kline, MD
• Michelle Marie Klingensmith, LLC
• Klinski Counseling Services, LLC
• Wendala K. Klinski, LPC, CAADC, CCS
• Sylvia Koch
• Hannah Jo Koehler
• Marie A. Kopin, CCC/SLP
• Maggie Koroleski
• Brieanne Kovach, LLMSW

• Professional Counselor in Mt Pleasant, MI
• Providers in Mt Pleasant, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2021; 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.