WILLIAM MICHAEL KOCH (NPI# 1629419015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629419015 |
Entity Type | Individual |
Full Name | WILLIAM MICHAEL KOCH |
Credential | LPC |
Practice Address |
416 East Chestnut Street Odessa MO 64076-1580 |
Practice Telephone | 6602290728 |
Mailing Telephone | 6602290728 |
Enumeration Date | 2013-07-12 |
Last Update Date | 2020-10-22 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
2013022744 | MO | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | 1629415015 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083884753 | William Harrison Koch | Psychiatry & Neurology | 151 Milbank Ave, Greenwich, CT 06830-6616 | 2008-03-09 |
1285673939 | William L Koch | Dentist | 6 North St, 1, Barre, VT 05641-3810 | 2006-06-06 |
1326087321 | William C Koch | Anesthesiology | 5 Turnburry Hill Rd, Lexington, MA 02421-4334 | 2006-06-05 |
1912437088 | William Koch | Counselor | 5100 N Ravenswood Ave Ste 233, Chicago, IL 60640-1752 | 2017-06-12 |
1184796302 | William Howard Koch II | Physical Therapist | 250 Central Ave N, Wayzata, MN 55391-1206 | 2006-11-14 |
1629164942 | William S Koch | Family Medicine | 10701 Anderson Rd, Easley, SC 29642-9309 | 2006-10-05 |
1942304357 | William C Koch | Pediatrics | 1250 E Marshall Street, Pediatrics, Richmond, VA 23298-0646 | 2006-09-08 |
1821063686 | William J Koch | Obstetrics & Gynecology | 2773 Harris St, Ste A, Eureka, CA 95503-4866 | 2006-02-22 |
Street Address |
416 EAST CHESTNUT STREET |
City | ODESSA |
State | MO |
Zip Code | 64076-1580 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548823966 | Bethany Jeanette Foss | Nurse Practitioner | 1280 W 40 Hwy, Odessa, MO 64076 | 2019-04-22 |
1619216231 | Heather N Begemann | Nurse Practitioner | 1280 West 40 Hwy, Odessa, MO 64076 | 2013-02-01 |
1558640334 | Linda Lou Proctor | Registered Nurse | 1278 Old Us 40 Hwy, Odessa, MO 64076 | 2011-08-10 |
1730499104 | Pamela Joyce Miller | Counselor | 406 A N. 4th Street, Odessa, MO 64076 | 2010-10-19 |
1225004781 | Richard Joseph Humble | Counselor | 406a N 4th, Odessa, MO 64076 | 2006-02-24 |
1568962611 | Tina Marie Davis | Nurse Practitioner | 1280 West 40 Hwy, Odessa, MO 64076 | 2018-02-15 |
1740701697 | Leslie Gleason | Counselor | 1278 W Us Highway 40, Odessa, MO 64076 | 2017-06-30 |
1982080008 | Danielle Fera | Counselor | 1278 W Us Highway 40, Odessa, MO 64076 | 2015-07-31 |
1184979940 | Lucas Paul Taylor | Counselor | 1278 W Us Highway 40, Odessa, MO 64076 | 2012-07-18 |
1093893893 | Missouri Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 101 S 2nd St, Odessa, MO 64076 | 2006-11-01 |
Find all providers in zip 64076 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922591692 | Dana D Debose | Counselor | 2301 Conover Ave, Odessa, TX 79763-2112 | 2018-06-07 |
1528432283 | Florence Pride | Counselor | 835 Tower Dr Ste 1, Odessa, TX 79761-4251 | 2015-11-18 |
1619303922 | Jessica Riley-bolden | Counselor | 1901 E 37th St Ste 209, Odessa, TX 79762-6210 | 2013-09-18 |
1164762977 | Beth Desilets | Counselor | 1901 E 37th St Ste 104, Odessa, TX 79762-6210 | 2013-02-15 |
1730499104 | Pamela Joyce Miller | Counselor | 406 A N. 4th Street, Odessa, MO 64076 | 2010-10-19 |
1487885711 | Audrey May Steakley | Counselor | 203 Santa Rita Dr, Odessa, TX 79763-2943 | 2009-08-04 |
1053541847 | Amy Bryant Garman | Counselor | 3414 Seguin, Odessa, TX 79765-8967 | 2009-07-15 |
1003075482 | Charlene Kay Atkins | Counselor | 406a N 4th St Ste A, Odessa, MO 64076-1152 | 2008-06-02 |
1578749560 | Darla Jean Avery | Counselor | 2706 N Century Ave, Odessa, TX 79762-7937 | 2008-01-21 |
1598951048 | Kristine Eileen Coyle | Counselor | 301 N 2nd St Ste C, Odessa, MO 64076-1137 | 2007-09-19 |
Find all providers in ODESSA |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.