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KARISA J KOCH LPC-IT
NPI 1558125294
Counselor - Professional in Green Bay, WI

Active since February 13, 2024Opted out of Medicare · through Sep 24, 2027
926 WILLARD DR STE 136, GREEN BAY, WI 54304(920) 461-5820(888) 449-6342 Get Directions Write a Review

NPPES record last updated: February 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Karisa J Koch Lpc-it NPPES

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

KARISA J KOCH LPC-IT (NPI 1558125294) is an individual professional provider in Green Bay, Wisconsin, licensed in Wisconsin (7795.226) and active in the NPI registry since February 2024. She has opted out of Medicare through September 24, 2027.

NPPES Registry Identity

NPI1558125294
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKARISA J KOCHCredential: LPC-IT
Location Address926 WILLARD DR STE 136Green Bay, WI 54304-5296
Mailing Address926 Willard Dr Ste 136Green Bay, WI 54304-5296 · (920) 461-5820 · Fax (888) 449-6342
Phone(920) 461-5820
Fax(888) 449-6342
Sole ProprietorNo
Enumeration DateFebruary 13, 2024
NPPES CertifiedFebruary 13, 2024
✔ NPI 1558125294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in WI · 7795.226
926 WILLARD DR STE 136, Green Bay, WI 54304
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Karisa J Koch Lpc-it has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 24, 2025 through September 24, 2027.

Opt-Out Effective DateSeptember 24, 2025
Opt-Out In Effect ThroughSeptember 24, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 13

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

MRS. AMANDA D SWISHER LPC
Counselor (Professional)
926 WILLARD DR STE 136
GREEN BAY, WI 54304
Brown County (920) 461-5820
TARA FOYTIK
Marriage & Family Therapist
926 WILLARD DR STE 136
GREEN BAY, WI 54304
Brown County (920) 659-5660
SAMANTHA F RITCHIE MA
Marriage & Family Therapist
926 WILLARD DR STE 136
GREEN BAY, WI 54304
Brown County (920) 461-5820
PIPER IRIS LINSSEN
Counselor (Professional)
926 WILLARD DR STE 136
GREEN BAY, WI 54304
Brown County (920) 460-9301
MICHELLE PIVONKA APSW
Social Worker
926 WILLARD DR STE 136
GREEN BAY, WI 54304
Brown County (920) 461-5820
KIMBERLEY WELK AND ASSOCIATES, LLC
Marriage & Family Therapist
926 WILLARD DR STE 136
GREEN BAY, WI 54304
Brown County (920) 461-5820
KIMBERLY ANN PAMPEL APSW
Social Worker
926 WILLARD DR STE 136
GREEN BAY, WI 54304
Brown County (920) 461-5820
CALLI CHRISTIANSEN
Student in an Organized Health Care Education/Training Program
926 WILLARD DR STE 136
GREEN BAY, WI 54304
Brown County (920) 461-5820

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 Karisa Koch's NPI number?

The NPI number for Karisa Koch is 1558125294. It was assigned to this individual provider in the NPPES registry on February 13, 2024.

Where is Karisa Koch located?

Karisa Koch practices at 926 Willard Dr Ste 136, Green Bay, WI 54304. The listed phone number is (920) 461-5820.

What is Karisa Koch's specialty?

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

Is Karisa Koch enrolled in Medicare?

No. Karisa Koch has opted out of Medicare through September 24, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Karisa Koch was last updated on February 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.