Anthony Koch, PSYD, LCP, LPC, NCC is a
Psychologist - Clinical based in Fairfax, Virginia. Anthony Koch is licensed to practice in Virginia (license number 0810008334) and his current practice location is
2740 Prosperity Ave Ste 200, Fairfax, Virginia. He can be reached at his office (for appointments etc.) via phone at
(703) 321-2600.
NPI number for Anthony Koch is 1790285377 and his current mailing address is 9450 Fairfax Blvd Apt 1433, Fairfax, Virginia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1790285377.
Healthcare Provider's Profile
| Full Name | Anthony Koch |
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| Gender | Male |
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| Speciality | Psychologist - Clinical |
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| Location | 2740 Prosperity Ave Ste 200, Fairfax, Virginia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1790285377
- Provider Enumeration Date: 02/20/2018
- Last Update Date: 11/09/2023
Medical Identifiers
Medical identifiers for Anthony Koch such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790285377 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | PC012077 (Pennsylvania) | Secondary |
| 101YP2500X | Counselor - Professional | 0701011884 (Virginia) | Secondary |
| 103TC0700X | Psychologist - Clinical | 0810008334 (Virginia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Anthony Koch is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Anthony Koch, PSYD, LCP, LPC, NCC
9450 Fairfax Blvd Apt 1433,
Fairfax, VA 22031-2421
Ph: (540) 219-9608 | Anthony Koch, PSYD, LCP, LPC, NCC
2740 Prosperity Ave Ste 200,
Fairfax, VA 22031-4354
Ph: (703) 321-2600 |
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