JENNIFER KOCH, PSY.D., PLLC
NPI 1184355562
Psychologist in Tumwater, WA

Active since June 17, 2022
111 TUMWATER BLVD SE STE C213, TUMWATER, WA 98501(360) 706-2674(360) 634-3565 Get Directions Write a Review

NPPES record last updated: July 1, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jennifer Koch, Psy.d., Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER KOCH, PSY.D., PLLC (NPI 1184355562), doing business as Bloom And Blossom Wellness Spa, is a healthcare organization registered as a psychologist in Tumwater, Washington and active in the NPI registry since June 2022. The organization lists Jennifer Koch, Psychologist/owner, as its authorized official.

NPPES Registry Identity

NPI1184355562
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameJENNIFER KOCH, PSY.D., PLLC
Location Address111 TUMWATER BLVD SE STE C213Tumwater, WA 98501-6400
Mailing Address111 Tumwater Blvd Se Ste C213Tumwater, WA 98501-6400 · (360) 706-2674 · Fax (360) 634-3565
Fax(360) 634-3565
Organization SubpartNo
Authorized OfficialJennifer KochPsychologist/owner · (360) 706-2674
Enumeration DateJune 17, 2022
Last NPPES UpdateJuly 1, 2022
NPPES CertifiedJuly 1, 2022
NPI 1184355562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

111 TUMWATER BLVD SE STE C213, Tumwater, WA 98501

Other Names 1

Doing Business AsBloom And Blossom Wellness Spa

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
111 TUMWATER BLVD SE STE C213
TUMWATER, WA 98501
Psychologist (Clinical)
111 TUMWATER BLVD SE STE C213
TUMWATER, WA 98501
Massage Therapist
111 TUMWATER BLVD SE STE C213
TUMWATER, WA 98501
Massage Therapist
111 TUMWATER BLVD SE STE C213
TUMWATER, WA 98501
Psychologist (Clinical)
111 TUMWATER BLVD SE STE C213
TUMWATER, WA 98501
Dietitian, Registered (Nutrition, Sports Dietetics)
111 TUMWATER BLVD SE STE C213
TUMWATER, WA 98501

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Koch, Psy.D., PLLC's NPI number?

The NPI number for Jennifer Koch, Psy.D., PLLC is 1184355562. It was assigned to this organization in the NPPES registry on June 17, 2022. The provider is doing business as Bloom and Blossom Wellness Spa.

Where is Jennifer Koch, Psy.D., PLLC located?

Jennifer Koch, Psy.D., PLLC is located at 111 Tumwater Blvd SE Ste C213, Tumwater, WA 98501. The listed phone number is (360) 706-2674.

What is Jennifer Koch, Psy.D., PLLC's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

What insurance does Jennifer Koch, Psy.D., PLLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Jennifer Koch, Psy.D., PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jennifer Koch, Psy.D., PLLC was last updated on July 1, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.