DR. JENNIFER ELIZABETH KOCH (NPI# 1528207784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528207784 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER ELIZABETH KOCH |
| Credential | PSY.D. |
| Practice Address |
2502 E Empire St Ste C Bloomington IL 61704-3739 |
| Mailing Address |
Po Box 604 Bloomington IL 61702-0604 |
| Practice Telephone | 3096637220 |
| Mailing Telephone | 3096637220 |
| Enumeration Date | 2009-02-11 |
| Last Update Date | 2010-06-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
071.007625 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700304029 | Jennifer Koch | Speech-Language Pathologist | 327 Valleyview Ct, Peoria, IL 61615-1371 | 2017-09-07 |
| 1073987293 | Jennifer Koch | Physical Therapy Assistant | 209 S Indiana Ave, Morton, IL 61550-2627 | 2015-11-26 |
| 1912322538 | Jennifer Kaye Koch | Registered Nurse | 324 E Maple St, Hubbard, IA 50122-7725 | 2014-02-19 |
| 1952574782 | Jennifer A Koch | Pharmacist | 57 Sea Spray Ave, Niantic, CT 06357-3337 | 2008-04-13 |
| 1780614925 | Jennifer Koch | Speech-Language Pathologist | 3070 Rita Way Se, Smyrna, GA 30080-4179 | 2006-07-04 |
| 1770123291 | Jennifer M Koch | Behavioral Analyst | 2785 Som Center Rd, Willoughby Hills, OH 44094-6501 | 2020-01-13 |
| 1548786635 | Jennifer Koch | Physician Assistant | 7250 Clearvista Dr Ste 355, Indianapolis, IN 46256-5609 | 2017-08-21 |
| 1407194970 | Jennifer Lynn Koch | Psychologist | 1530 S Union Ave, Suite 16, Tacoma, WA 98405-1954 | 2013-01-17 |
| 1033465141 | Jennifer Koch | Specialist | 255 Executive Dr, Plainview, NY 11803-1718 | 2012-07-26 |
| 1649501289 | Jennifer Koch | Social Worker | 2120 Thibodo Rd, Suite 230, Vista, CA 92081-7901 | 2010-01-21 |
| Street Address |
2502 E EMPIRE ST STE C |
| City | BLOOMINGTON |
| State | IL |
| Zip Code | 61704-3739 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518430859 | Visionpoint Eye Center LLC | Optometrist | 1107 Airport Road, Bloomington, IL 61704 | 2019-01-09 |
| 1922588235 | Geethu Sabu Makil | Speech-Language Pathologist | 1039 Blueheron Way, Apt#3, Bloomington, IL 61704 | 2018-08-16 |
| 1629596812 | Mental Wellness Center Inc | Counselor | 202 N Prospect Rd Ste 207, Bloomington, IL 61704 | 2017-09-07 |
| 1649798513 | Sarah Goodner | Psychologist | 1704 Royal Pointe Drive, Bloomington, IL 61704 | 2017-08-31 |
| 1346760253 | Elizabeth Devlin | Nurse Practitioner | 25 Long Cove Ct, Bloomington, IL 61704 | 2017-06-21 |
| 1396107918 | Darla Schwertfeger | Specialist/Technologist, Other | 2104 Hedgewood Dr, Bloomington, IL 61704 | 2016-03-23 |
| 1740662949 | Oncology Hematology Associates of Central Illinois | Pharmacy | 3105 Magory Drive, Bloomington, IL 61704 | 2015-06-24 |
| 1821478967 | Kelly R Andrews | Massage Therapist | 4101 Wicker Rd, Bloomington, IL 61704 | 2015-06-03 |
| 1235522582 | All Ways Caring Services, Inc. | In Home Supportive Care | 209 S Prospect Rd, Suite 3e, Bloomington, IL 61704 | 2015-03-11 |
| 1396093977 | Bhawna Gupta | Physical Therapist | 2200 East Washington Street, Bloomington, IL 61704 | 2012-08-29 |
| Find all providers in zip 61704 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154885028 | Sara J. W. Biebl, Ph.d., Licensed Psychologist, Pllc | Psychologist | 7900 Xerxes Ave S Ste 1125, Bloomington, MN 55431-1112 | 2019-01-24 |
| 1053894501 | Thrive Psychology Services, LLC | Psychologist | 4120 W Dresden Dr, Bloomington, IN 47404-8403 | 2018-09-11 |
| 1194184465 | Chjl LLC | Psychologist | 8120 Penn Ave S Ste 252, Bloomington, MN 55431-1358 | 2016-02-16 |
| 1992100077 | Lindeman and Associates, LLC | Psychologist | 3802 E 3rd St, Suite 220, Bloomington, IN 47401-5504 | 2014-10-30 |
| 1255772174 | Amanda Quinby | Psychologist | 205 N College Ave Ste 512, Bloomington, IN 47404-3952 | 2013-07-08 |
| 1457609802 | Jason Vasquez | Psychologist | 2416 Washington, A-3, Bloomington, IL 61704 | 2012-08-16 |
| 1710282058 | Annorah Sheeran Moorman | Psychologist | 1319 Fell Ave, Bloomington, IL 61701-1828 | 2011-01-18 |
| 1477860609 | Hoffmann Burchett Psychological Services, LLC | Psychologist | 205 N Williamsburg Dr, Suite F, Bloomington, IL 61704-7706 | 2010-09-09 |
| 1356654693 | James Wiltz | Psychologist | 2745 E Elderberry Ct, Bloomington, IN 47401-4307 | 2010-07-15 |
| 1083859557 | Mark A. Herrmann, Ph.d., P.C. | Psychologist | 3705 N Bittersweet Dr, Bloomington, IN 47408-9656 | 2008-12-11 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 61704 |
Please comment or provide details below to improve the information on DR. JENNIFER ELIZABETH 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.