LISA M KOCH (NPI# 1003811712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003811712 |
| Entity Type | Individual |
| Full Name | LISA M KOCH |
| Credential | PH.D. |
| Practice Address |
105 W 8th Ave Suite 450e Spokane WA 99204-2302 |
| Mailing Address |
Po Box 421 Liberty Lake WA 99019-0421 |
| Practice Telephone | 5094746920 |
| Practice Fax Number | 5092277070 |
| Mailing Telephone | 8667472455 |
| Mailing Fax Number | 5092277070 |
| Enumeration Date | 2005-06-17 |
| Last Update Date | 2015-09-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PY00002472 | WA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 8366411 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093725905 | Lisa Anne Koch | Registered Nurse | 848 N Saint Francis St Ste 2945, Wichita, KS 67214-3856 | 2006-08-09 |
| 1790391233 | Lisa Renee Koch | Technician | 87 Swierkos Dr, Moundsville, WV 26041-4209 | 2020-09-21 |
| 1235533274 | Lisa Anne Koch | Physician Assistant | 1500 East Medical Center Drive, Level 4 University Hospital Building 1000312, Ann Arbor, MI 48109-5240 | 2014-10-20 |
| 1841699477 | Lisa Lynn Koch | Specialist/Technologist | 2116 Craig Rd, Eau Claire, WI 54701-6149 | 2014-08-20 |
| 1609119700 | Lisa M Koch | Audiologist | 601 6th Ave, Huntington, WV 25701-2103 | 2013-03-27 |
| 1639468762 | Lisa Kristine Koch | Pathology | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2011-03-29 |
| 1831119205 | Lisa Koch | Speech-Language Pathologist | 3950 3rd St N, Suite D, St Petersburg, FL 33703-6123 | 2006-07-20 |
| Street Address |
105 W 8TH AVE SUITE 450E |
| City | SPOKANE |
| State | WA |
| Zip Code | 99204-2302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972506814 | Jennifer Kay Pary | Psychiatry & Neurology | 105 W 8th Ave, Suite 318c, Spokane, WA 99204-2302 | 2005-05-24 |
| 1285191346 | Lauren A Earthman | Physician Assistant | 105 W 8th Ave, Spokane, WA 99204-2302 | 2019-02-25 |
| 1285104885 | Jonathan Carmen Panetta | Nurse Practitioner | 105 W 8th Ave, Spokane, WA 99204-2302 | 2018-11-27 |
| 1821516949 | Hayden Ingram | Pharmacist | 105 W 8th Ave, Spokane, WA 99204-2302 | 2017-09-08 |
| 1326573031 | Charlotte Lynch | Advanced Practice Midwife | 105 W 8th Ave, Suite 6020, Spokane, WA 99204-2302 | 2017-05-01 |
| 1336698703 | Jocelyn Diana Christianson | Counselor | 105 W 8th Ave, Suite 332, Spokane, WA 99204-2302 | 2016-09-27 |
| 1972057172 | Ashlee Nicole Bradshaw | Counselor | 105 W 8th Ave, Suite 332, Spokane, WA 99204-2302 | 2016-08-05 |
| 1720439045 | Kristin Martin | Nurse Practitioner | 105 W 8th Ave, Suite 200, Spokane, WA 99204-2302 | 2016-06-28 |
| 1871940809 | Elizabeth Killian | Counselor | 105 W 8th Ave, Ste.332, Spokane, WA 99204-2302 | 2016-05-19 |
| 1962860981 | Mahshid Aghasadeghi | Registered Nurse | 105 W 8th Ave, Suite 6020, Spokane, WA 99204-2302 | 2016-02-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982250957 | Megan Elizabeth Dibenedetto | Pharmacist | 105 West 8th Avenue, 350e, Spokane, WA 99204 | 2019-08-14 |
| 1619521168 | Evelyn R Cabon | Genetic Counselor, MS | 101 W. 8th Avenue Suite 1100, Spokane, WA 99204 | 2019-08-01 |
| 1346700655 | Christina Rose | Student in an Organized Health Care Education/Training Program | 120 W. 8th Avenue, Spokane, WA 99204 | 2019-03-22 |
| 1508339862 | Cody J French | Physical Therapist | Washington Outpatient Rehab, 507 S Washington, Spokane, WA 99204 | 2019-01-09 |
| 1730655598 | Washington Outpatient Rehabilitation, LLC | Physical Therapist | 507 S. Washington St., Suite 10, Spokane, WA 99204 | 2018-10-19 |
| 1013405547 | Joel James Hayden | Student in an Organized Health Care Education/Training Program | Providence Sacred Heart, 101 West 8th Avenue, Spokane, WA 99204 | 2018-04-30 |
| 1144694787 | Brooksjohnsonpllc | Dentist | 1004 S. Monroe Street, Ste 100, Spokane, WA 99204 | 2015-11-19 |
| 1497184196 | Kathalene M Cassels | Physician Assistant | 810 W. 5th Ave. Ste 510, Spokane, WA 99204 | 2013-11-04 |
| 1174880454 | Kelly E Wurzel | Psychiatry & Neurology | 624 E. Front Ave, Spokane, WA 99204 | 2012-04-11 |
| 1003190331 | Katie L Gomez | Nurse Practitioner | 805 W. 5th Ave, Suite 518, Spokane, WA 99204 | 2011-10-05 |
| Find all providers in zip 99204 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437628013 | Reff Psychotherapeutic Services Pllc | Psychologist | 505 W Riverside Ave Ste 504, Spokane, WA 99201-0518 | 2018-11-13 |
| 1790200269 | Leslie A Blevins | Psychologist | 705 W 7th Ave Ste D, Spokane, WA 99204-2836 | 2017-08-07 |
| 1700300928 | Lisa Anselmomarnach | Psychologist | 11212 N Calispel Ct, Spokane, WA 99218-2585 | 2017-07-30 |
| 1407202898 | Patrick Metoyer | Psychologist | 714 W Park Pl, Spokane, WA 99205-3249 | 2016-05-04 |
| 1518335082 | Thomas Genthe | Psychologist | 5619 South Custer Rd., Spokane, WA 99223 | 2015-09-14 |
| 1386981579 | Meri Mendelsohn Murphy | Psychologist | 4114 S Ivory St, Spokane, WA 99203-6250 | 2013-01-09 |
| 1437452166 | Mahlon Bentley Dalley | Psychologist | 1330 N Washington St Ste 4200, Spokane, WA 99201-2476 | 2010-12-20 |
| 1780992669 | Natalie Krenz | Psychologist | 905 W Riverside Ave Ste 208, Spokane, WA 99201-1099 | 2010-09-14 |
| 1700025202 | Northwest Behavioral Health Clinic | Psychologist | 905 W Riverside Ave Ste 610, Spokane, WA 99201-1099 | 2009-02-07 |
| 1003039025 | William H. Jackline | Psychologist | 140 S Arthur St Ste 415, Spokane, WA 99202-2220 | 2007-04-10 |
| Find all providers in SPOKANE | ||||
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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.