Randall Koch, MS, LPC
NPI 1336563311ActiveIndividual· Counselor, Professional· Petoskey, MI
Counselor, Professional (MS, LPC) with Little Traverse Bay Bands of Odawa Indians, practicing in Petoskey, Michigan. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1336563311 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MS, LPC |
| Sole proprietor | No |
| NPI issued | Feb 11, 2014 |
| Last updated in NPPES | Feb 11, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | 6401012477 | MI |
| Counselor, Professional | 101YP2500X | 180.005305 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (MI) |
|---|
Education and affiliations
| Graduation year | 1988 |
|---|---|
| Medicare specialty | Mental Health Counselor |
Medical group
- Little Traverse Bay Bands of Odawa IndiansPetoskey, MI · 13 clinicians
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