REBECCA KOCH (NPI# 1083702708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083702708 |
Entity Type | Individual |
Full Name | REBECCA KOCH |
Credential | MA, LMHC |
Practice Address |
11 Sumner St Gloucester MA 01930-2019 |
Practice Telephone | 9782816862 |
Practice Fax Number | 9782816982 |
Mailing Telephone | 9782816862 |
Mailing Fax Number | 9782816982 |
Enumeration Date | 2006-10-10 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
1149 | MA | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MA | BC/BS | LMO443 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710501291 | Rebecca Mae Koch | Occupational Therapist | 1407 Boalch Ave Nw, North Bend, WA 98045-7994 | 2020-06-01 |
1568002624 | Rebecca Mcewen Koch | Pharmacist | 4401 Garth Rd, Baytown, TX 77521-2122 | 2020-01-07 |
1497237523 | Rebecca Koch | Registered Nurse | 10440 Little Patuxent Pkwy Ste 800, Columbia, MD 21044-3569 | 2018-09-05 |
1649609983 | Rebecca Koch | Nutritionist | 8118 Good Luck Rd, Lanham, MD 20706-3574 | 2013-11-07 |
1861519332 | Rebecca S Koch | Physical Therapy Assistant | 2250 Hickory Rd, Suite 240, Plymouth Meeting, PA 19462-1047 | 2007-03-22 |
Street Address |
11 SUMNER ST |
City | GLOUCESTER |
State | MA |
Zip Code | 01930-2019 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528538592 | Kimberly Moniz | Counselor | 3 & 4 Blackburn Center, Gloucester, MA 01930 | 2018-12-03 |
1770066714 | Anneliese Deckert | Counselor | 3 & 4 Blackburn Center Drive, Gloucester, MA 01930 | 2018-09-14 |
1497231070 | Erika Ackermann Duffy | Social Worker | Beeman Elementary School, 138 Cherry Street, Gloucester, MA 01930 | 2018-07-17 |
1639677958 | Sarah Bethany Stockwell | Counselor | 3 Blackburn Center Drive, Gloucester, MA 01930 | 2018-02-01 |
1164931721 | Samantha Carapellucci | Counselor | Children Friend Familes, 33 Commercial Street, Gloucester, MA 01930 | 2017-09-27 |
1215455860 | Jennifer Catherine Hynes | Social Worker | 33 Commercial Street, Gloucester, MA 01930 | 2017-09-05 |
1952829590 | Jessica Demarjian | Counselor | 24 Glemere Ave, Gloucester, MA 01930 | 2017-09-04 |
1033636600 | Anne Kirk Drueding | Social Worker | 29a Emerson Avenue, Gloucester, MA 01930 | 2017-08-24 |
1982128211 | Kristen Elizabeth Drischler | Registered Nurse | 29a Emerson Ave, Gloucester, MA 01930 | 2017-07-28 |
1992229207 | Jacqueline Marie Misuraca | Registered Nurse | 29 A Emerson Ave, Gloucester, MA 01930 | 2017-07-28 |
Find all providers in zip 01930 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699278820 | Blake Steagall | Counselor | 7296 York Avenue, Gloucester, VA 23061 | 2018-03-14 |
1043725385 | Amanda J Ward | Counselor | 6810 Teagle Ln, Gloucester, VA 23061-5386 | 2017-12-08 |
1578096053 | Karin Odonnell | Counselor | 3 Orchard Rd, Gloucester, MA 01930-4228 | 2017-04-11 |
1376092122 | Julia Kay Haggarty | Counselor | 42 Bray St, Gloucester, MA 01930-1555 | 2016-09-21 |
1003111394 | Emily Anna Pecora | Counselor | 20 Sea Fox Ln, Gloucester, MA 01930-1571 | 2011-01-18 |
1710163084 | Steider & Associates, Pllc | Counselor | 6810 Teagle Lane, Gloucester, VA 23061 | 2008-01-16 |
1548378987 | Susan Marie Rheaume | Counselor | 80 Prospect St, Unit 16, Gloucester, MA 01930-3748 | 2006-08-27 |
1881224715 | Emily Debenedictis | Counselor | 122 Main St, Gloucester, MA 01930-5779 | 2020-01-20 |
1932753944 | Cara Woodbury Durgin | Counselor | 3 Blackburn Ctr, Gloucester, MA 01930-2268 | 2019-07-29 |
1497309710 | Mary Carpenter | Counselor | 3 Blackburn Ctr, Gloucester, MA 01930-2268 | 2019-07-25 |
Find all providers in GLOUCESTER |
City | GLOUCESTER |
Zip Code | 01930 |
Please comment or provide details below to improve the information on REBECCA KOCH.
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.