Anthony Koch, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

NPF95024532 Issued in CA

Practice address

182 SW Academy St
Dallas, OR 97338-1996

Phone

(503) 623-9289

Fax

(503) 623-2731

NPI assigned

Apr 1, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 6

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OH, OR2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

County of PolkGroup PAC ID 7315930492, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Marian Regional Medical Center Hospital, Santa Maria, CA, CCN 050107

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• County of Polk

  • Psychiatry Physician
  • Dallas, OR
  • NPI 1427081470
  Medicare reassignment Care Compare group
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  OH, OR, Psychiatric/Mental Health

  Medicare reassignment NPD
• Feel Better & Co.

  • Psychiatric/Mental Health Nurse Practitioner
  • Canfield, OH
  • NPI 1023842432
  NPD Authorized official
• Teletherapeutics Health Ca Corp

  • Clinical Psychologist
  • Artesia, CA
  • NPI 1730848383
  NPD (past)
• Teletherapeutics Health Oh Inc.

  • Psychologist
  • Canton, OH
  • NPI 1508526559
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Dignity Health

  • General Acute Care Hospital
  • Santa Maria, CA
  • NPI 1760510937
  Care Compare affiliation

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

{
    "created_epoch": "1617235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773878400000",
    "number": "1821676669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6923 GIBSON RD",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444068653",
            "telephone_number": "330-398-1132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "182 SW ACADEMY ST",
            "city": "DALLAS",
            "state": "OR",
            "postal_code": "973381996",
            "telephone_number": "503-623-9289",
            "fax_number": "503-623-2731"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "145 S Worthen St",
            "address_purpose": "LOCATION",
            "city": "Wenatchee",
            "state": "WA",
            "postal_code": "988013081",
            "country_code": "US",
            "telephone_number": "509-965-7100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "199 Oak St",
            "address_purpose": "LOCATION",
            "city": "Pembroke",
            "state": "MA",
            "postal_code": "023591953",
            "country_code": "US",
            "telephone_number": "781-829-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1019 112th St SW",
            "address_purpose": "LOCATION",
            "city": "Everett",
            "state": "WA",
            "postal_code": "982044875",
            "country_code": "US",
            "telephone_number": "425-551-6200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2180 Johnson Ave",
            "address_purpose": "LOCATION",
            "city": "San Luis Obispo",
            "state": "CA",
            "postal_code": "934014558",
            "country_code": "US",
            "telephone_number": "805-781-4768",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6923 Gibson Rd",
            "address_purpose": "LOCATION",
            "city": "Canfield",
            "state": "OH",
            "postal_code": "444068653",
            "country_code": "US",
            "telephone_number": "330-398-1132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOCH",
        "first_name": "ANTHONY",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-01",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61289252",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "0029697",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "10009669",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "WA",
            "license": "RN61287688",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "NPF95024532",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.445266",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "bestnotes",
            "affiliation": "N",
            "endpointDescription": "best notes",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3745 Whipple Ave NW Ste A",
            "city": "Canton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "447184805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michael Joseph Kirkland, D.C.
• Bethany Patricia Kleiber, DPT
• Susan Marie Klein
• Gary Knowles, OD
• Geoffrey Wade Knowles, OD
• Kathleen Koens
• Ami Korsunsky, M.A. COUNSELING
• Sloan Krueger
• Allison Lafountain, BA QMHA
• Matthew Bryant Lake, DMD

• Psychiatric/Mental Health Nurse Practitioner in Dallas, OR
• Providers in Dallas, OR by specialty
• Psychiatric/Mental Health Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.