NICOLE ANNE KOCH MA LPCC NPI 1023637014

NPI Information

  • NPI: 1023637014
  • Provider Name: NICOLE ANNE KOCH, MA, LPCC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • Address: 11117 ZEALAND AVE N
    CHAMPLIN, MN
    ZIP 55316
  • Phone: (763) 746-0842

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NPI Details

Nicole Anne Koch, MA, LPCC is a professional counselor in Champlin, MN. Nicole Anne Koch, MA, LPCC NPI is 1023637014. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11117 ZEALAND AVE N
CHAMPLIN, MN
ZIP 55316-595
Phone: (763) 746-0842

The enumeration date for this NPI number is 4/10/2020 and was last updated on 10/11/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthCC02437MINNESOTANo
2101YP2500XCounselorProfessional2437MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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