Jaylynne S Koch, PHD, LPC, RPT-S

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

5596 Issued in CO

Practice address

4390 N Academy Blvd Ste 201
Colorado Springs, CO 80918-6657

Phone

(719) 357-8086

NPI assigned

Oct 11, 2011

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

Credentials

Doctor of Philosophy

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.

• Bloom Between, LLC

  • Professional Counselor
  • Colorado Springs, CO
  • NPI 1457066169
  NPD Authorized official

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

{
    "created_epoch": "1318291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1831473768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 ALLYN WAY",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809154227",
            "telephone_number": "719-214-9393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4390 N ACADEMY BLVD STE 201",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809186657",
            "telephone_number": "719-357-8086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCH",
        "first_name": "JAYLYNNE",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "PHD, LPC, RPT-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-11",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "5596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Todd T Kobayashi, M.D.
• Anna Lynn Kobee
• Aleah Koch
• Amy Nicole Koch
• Brian Koch
• Kristina Marie Koch, MPT
• Stefan Matthew Kochis, O.D.
• Koco-Para Medical Services LLC
• Jody Kocsis
• Edward Anthony Koditek, DDS

• Professional Counselor in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Professional Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.