MR. MARK GERALD KOCH MFT
NPI 1396808622
Marriage & Family Therapist in Fairfield, CA
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Mark Gerald Koch Mft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Mark Koch reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Jose, CA 95113
- Reassigned Medicare billing, California enrollment
- 3,139 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
FAIRFIELD, CA 94533
FAIRFIELD, CA 94533
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 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.
Where is Mark Koch located?
Mark Koch practices at 2101 Courage Dr, Fairfield, CA 94533. The listed phone number is (707) 784-2099.
What is Mark Koch's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Mark Koch enrolled in Medicare?
Yes. Mark Koch is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Mark Koch's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mark Koch reassigns Medicare benefits to Grow Healthcare Group PC (San Jose, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mark Koch's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Mr. Mark Gerald Koch, MFT · NPI 1396808622
Marriage & Family Therapist provider in Fairfield, California. Individual provider, active in the CMS NPPES registry since December 18, 2006.
## Identity
- **NPI:** 1396808622 (Entity type: Individual)
- **Enumerated:** December 18, 2006
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** MFC33411 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 2101 COURAGE DR, Fairfield, CA 94533-6717
- **Phone:** (707) 784-2099
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Grow Healthcare Group PC (NPI 1154994846, San Jose, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 8, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1396808622) · Data from the CMS NPPES public registry.