Rebecca Koch is a Mental Health in Gloucester, Massachusetts. Rebecca Koch practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Rebecca Koch is 1083702708. The last update date is 2007-07-08.
Rebecca Koch's current location address is 11 Sumner St, Gloucester, Massachusetts. You can contact this provider via phone number 9782816862 and fax number 9782816982. The mailing address for Rebecca Koch is 11 Sumner St, Gloucester, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Rebecca Koch |
|---|---|
| Address | 11 Sumner St, Gloucester, Massachusetts |
| Phone Number | 9782816862 |
| Fax Number | 9782816982 |
| Sole Proprietor | Y |
| Credentials | MA, LMHC |
NPI Number Detail
| NPI Number | 1083702708 |
|---|---|
| Provider Enumeration Date | 2006-10-10 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 11 Sumner St |
|---|---|
| City | Gloucester |
| State | Massachusetts (MA) |
| Post Code | 19302019 |
| Phone Number | 9782816862 |
| Fax Number | 9782816982 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | 1149 |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| LMO443 | MA | BC/BS |
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What is the unique identification code assigned to Rebecca Koch by the Centers for Medicare & Medicaid Services?
The Rebecca Koch has been issued the NPI (National Provider Identifier) 1083702708. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Rebecca Koch located?
The Rebecca Koch is located at 11 Sumner St, Gloucester, MA 19302019.
What is Rebecca Koch's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Rebecca Koch is Mental Health, and the taxonomy code that classifies this field of practice is 101Ym0800X.
On what date did the Centers for Medicare & Medicaid Services assign the 1083702708 to Rebecca Koch?
The Centers for Medicare & Medicaid Services assigned the 1083702708 to Rebecca Koch on 2006-10-10.
When was the information related to Rebecca Koch most recently updated or refreshed?
The details pertaining to the Rebecca Koch, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.