Active NPI 1023637014 Individual Practitioner Female Practitioner

Nicole Anne Koch , MA, LPCC

Counselor - Professional • Champlin, MN

Professional Overview & Biography Verified Profile Summary

Nicole Koch, MA, LPCC is a registered healthcare professional specializing in Counselor - Professional in Champlin, MN. Practice services are available at 11117 ZEALAND AVE N under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

11117 Zealand Ave N

Champlin, MN 553163595

Telephone 7637460842

Associated Practice Facility / Clinic

🏢 Soul Work Counseling, Llc Facility NPI 1710295001

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Champlin, MN

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 24.0 Yrs

State Avg: 11.4 Yrs

Regional Practice Density

4 Specialists

Practicing in Champlin, MN (2422 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-10-11

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License MN 2437

Definition to come...

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

State License MN CC02437

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners

Dr. Shawna Benson , PsyD, LP

Psychologist - Clinical

NPI 1447351812

Doctor of Psychology (Psy.D.), Licensed Psychologist

Janet Schlegel , MA, LMFT

Marriage & Family Therapist

NPI 1710081948

Master of Arts, Licensed Marriage and Family Therapist

Erica Gruidl , LMFT

Marriage & Family Therapist

NPI 1720556657

Licensed Marriage and Family Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

👤

Provider Name / Credentials Updated October 11, 2022

Recorded as NICOLE KOCH, MA, LPCC

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 11, 2022

Counselor (License #CC02437 in MN)

✅

NPI Profile Active April 10, 2020

NPI status registered as active in NPPES database

📍

Updated Practice Location April 10, 2020

Registered at 11117 ZEALAND AVE N, CHAMPLIN, MN 553163595 (Tel: 7637460842)

📍

Updated Business Mailing Address April 10, 2020

Registered at 235 MALLARD LN, LORETTO, MN 553579563 (Tel: 7632867138)

👤

Provider Name / Credentials Updated April 10, 2020

Recorded as NICOLE KOBBE, MA, LPCC

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 10, 2020

Counselor (License #2437 in MN)

🟢

Initial NPI Registration & Enumeration April 10, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1023637014

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 10, 2020

Last Update: October 11, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

235 Mallard Ln

Loretto, MN 553579563

Phone: 7632867138

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.