RANDALL KOCH MS, LPC
NPI 1336563311
Counselor - Professional in Petoskey, MI

Active since February 11, 2014PECOS EnrolledAccepts Medicare Assignment
704 EMMET ST, PETOSKEY, MI 49770(231) 347-5511 Get Directions Write a Review

NPPES record last updated: February 11, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Randall Koch Ms, Lpc NPPES

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

RANDALL KOCH MS, LPC (NPI 1336563311) is an individual professional provider in Petoskey, Michigan, licensed in Michigan (6401012477) and active in the NPI registry since February 2014. He is enrolled in Medicare PECOS and is a graduate of Other (1988).

NPPES Registry Identity

NPI1336563311
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameRANDALL KOCHCredential: MS, LPC
Location Address704 EMMET STPetoskey, MI 49770-2910
Mailing Address704 Emmet StPetoskey, MI 49770-2910 · (231) 347-5511
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateFebruary 11, 2014
NPI 1336563311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses Licensed in MI · 6401012477 Licensed in IL · 180.005305
704 EMMET ST, Petoskey, MI 49770

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Randall Koch Ms, Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901318500
PECOS Enrollment IDI20250620000203
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

Counselor
704 EMMET ST
PETOSKEY, MI 49770
Counselor (Addiction (Substance Use Disorder))
704 EMMET ST
PETOSKEY, MI 49770
Case Manager/Care Coordinator
704 EMMET ST
PETOSKEY, MI 49770
Behavior Technician
704 EMMET ST
PETOSKEY, MI 49770
Technician
704 EMMET ST
PETOSKEY, MI 49770
Registered Nurse
704 EMMET ST
PETOSKEY, MI 49770
Case Manager/Care Coordinator
704 EMMET ST
PETOSKEY, MI 49770
Peer Specialist
704 EMMET ST
PETOSKEY, MI 49770

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 Randall Koch's NPI number?

The NPI number for Randall Koch is 1336563311. It was assigned to this individual provider in the NPPES registry on February 11, 2014.

Where is Randall Koch located?

Randall Koch practices at 704 Emmet St, Petoskey, MI 49770. The listed phone number is (231) 347-5511.

What is Randall Koch's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Randall Koch enrolled in Medicare?

Yes. Randall Koch is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Randall Koch accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Randall Koch 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 Randall Koch was last updated on February 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.