MR. MARK GERALD KOCH MFT
NPI 1396808622
Marriage & Family Therapist in Fairfield, CA

Q: What is Mark Koch's NPI number?

The NPI number for Mark Koch is 1396808622. It was assigned to this individual provider in the NPPES registry on December 18, 2006.

Q: What is Mark Koch's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Mark 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.

Active since December 18, 2006PECOS Enrolled

2101 COURAGE DR, FAIRFIELD, CA 94533(707) 784-2099 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Mark Gerald Koch Mft NPPES

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

MR. MARK GERALD KOCH MFT (NPI 1396808622) is an individual marriage & family therapist in Fairfield, California, licensed in California (MFC33411) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396808622

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NameMR. MARK GERALD KOCHCredential: MFT

Location Address2101 COURAGE DRFairfield, CA 94533-6717

Mailing Address2101 Courage DrFairfield, CA 94533-6717 · (707) 784-2099

Phone(707) 784-2099

Sole ProprietorNo

Enumeration DateDecember 18, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1396808622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · MFC33411

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

2101 COURAGE DR, Fairfield, CA 94533

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Mark Gerald Koch Mft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

MS. JENNIFER RUTH PETTIBONE RN

Registered Nurse (Psychiatric/Mental Health)

2101 COURAGE DR, MS-10-200
FAIRFIELD, CA 94533

Solano County (707) 784-2154

MALISSA BLAIR RN

Registered Nurse