Anthony Koch, PSYD, LCP, LPC, NCC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810008334 Issued in VA

Practice address

2740 Prosperity Ave Ste 200
Fairfax, VA 22031-4354

Phone

(703) 321-2600

NPI assigned

Feb 20, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: anthony.koch@inova.org

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

{
    "created_epoch": "1519084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1790285377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9450 FAIRFAX BLVD APT 1433",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312421",
            "telephone_number": "540-219-9608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2740 PROSPERITY AVE STE 200",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314354",
            "telephone_number": "703-321-2600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 15th St N Ste 200",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "VA",
            "postal_code": "222012627",
            "country_code": "US",
            "telephone_number": "703-988-6861",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOCH",
        "first_name": "ANTHONY",
        "credential": "PSYD, LCP, LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-02-20",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC012077",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701011884",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810008334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drkoch@mpspllc.com",
            "affiliation": "N",
            "endpointDescription": "Work Email",
            "address_1": "2000 15th St N Ste 200",
            "city": "Arlington",
            "state": "VA",
            "country_code": "US",
            "postal_code": "222012627",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Anthony.Koch@inova.org",
            "affiliation": "N",
            "endpointDescription": "Work Email",
            "address_1": "2740 Prosperity Ave Ste 200",
            "city": "Fairfax",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220314354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Su Min Ko, M.D.
• Tammy Ko, M.ED, BCBA
• Laura Strehle Kobler, MS, NP
• Thomas Paul Kobylski, MD
• Jill Kocanyar, LPC
• Manisha Kochhar, PA-C
• Jacqueline Kochmer, DPT
• Melissa Anne Kochuba, R.N, I.B.C.L.C
• Carrington L Koebele, MD
• Abigail Mary Koehler

• Clinical Psychologist in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; 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.