JACK L KOCH L.C.P.C.
NPI 1184742074
Counselor - Mental Health in Carlyle, IL

Active since March 27, 2007

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jack L Koch L.c.p.c. NPPES

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

JACK L KOCH L.C.P.C. (NPI 1184742074) is an individual mental health provider in Carlyle, Illinois and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1184742074
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJACK L KOCHCredential: L.C.P.C.
Location Address580 8TH STCarlyle, IL 62231-1803
Mailing Address23412 Brink RdCarlyle, IL 62231-4032 · (618) 594-4067
Sole ProprietorNo
Enumeration DateMarch 27, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1184742074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
580 8TH ST, Carlyle, IL 62231

Other Providers at the Same Location NPPES 7

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

Counselor (Mental Health)
580 8TH ST
CARLYLE, IL 62231
Counselor (Addiction (Substance Use Disorder))
580 8TH ST
CARLYLE, IL 62231
Clinic/Center (Rehabilitation, Substance Use Disorder)
580 8TH ST
CARLYLE, IL 62231
Social Worker (Clinical)
580 8TH ST
CARLYLE, IL 62231
Counselor (Professional)
580 8TH ST
CARLYLE, IL 62231
Clinic/Center (Mental Health (Including Community Mental Health Center))
580 8TH ST
CARLYLE, IL 62231
Counselor (Addiction (Substance Use Disorder))
580 8TH ST
CARLYLE, IL 62231

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 Jack Koch's NPI number?

The NPI number for Jack Koch is 1184742074. It was assigned to this individual provider in the NPPES registry on March 27, 2007.

Where is Jack Koch located?

Jack Koch practices at 580 8th St, Carlyle, IL 62231. The listed phone number is (618) 594-4581.

What is Jack Koch's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Jack Koch was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.