Jennifer M Koch

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

450 S Landmark Ave
Bloomington, IN 47403-5000

Phone

(317) 520-8200

Fax

(317) 520-8200

NPI assigned

Jan 13, 2020

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

Other names 1

• Jennifer M Jaynes Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1578873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1770123291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2785 SOM CENTER RD",
            "city": "WILLOUGHBY HILLS",
            "state": "OH",
            "postal_code": "440946501",
            "telephone_number": "216-278-0288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 S LANDMARK AVE",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474035000",
            "telephone_number": "317-520-8200",
            "fax_number": "317-520-8200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2785 Som Center Rd",
            "address_purpose": "LOCATION",
            "city": "Willoughby Hills",
            "state": "OH",
            "postal_code": "440946501",
            "country_code": "US",
            "telephone_number": "216-278-0288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOCH",
        "first_name": "JENNIFER",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-13",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "JAYNES",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Laura Bryce Knudson, MD
• Laureen S Knuteson, PA-C
• Gary Knutson, DC
• Hannah Koch
• James Koch
• Lindsey Renee Kocher, PA-C
• Naomi Rose Koeplin, MED, MSW, LSW
• Suzanne Louise Koesel, MSW
• Kimberly D. Kohne, O.D.
• Alyssa Kojder, RBT

• Behavior Analyst in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Behavior Analyst in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; 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.