MARY JO KOCH NPI 1336651363

NPI Information

  • NPI: 1336651363
  • Provider Name: MARY JO KOCH
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 105 S MARSHALL ST
    BOONE, IA
    ZIP 50036
  • Phone: (515) 432-7983

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NPI Details

Mary Jo Koch is a mental health counselor in Boone, IA with 8 years of experience. Mary Jo Koch NPI is 1336651363. 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:

105 S MARSHALL ST
BOONE, IA
ZIP 50036-899
Phone: (515) 432-7983

The NPI 1336651363 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 10/31/2017 and was last updated on 10/31/2017.

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 Health088801IOWAYes

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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