Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jack L Koch, LCPC

Individual provider Mental Health Counselor · NPI 1184742074

Jack L Koch, LCPC is a Mental Health Counselor in Carlyle, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
What do these letters mean?
LCPC — Licensed Clinical Professional Counselor
A licensed clinical counsellor.

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Practice location Address checks out

580 8th St
Carlyle, IL 62231-1803
Phone: (618) 594-4581
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X (IL)

Record details

NPI number1184742074
Entity typeIndividual (Type 1)
GenderMale
Credentials LCPC
Sole proprietorNo
NPI enumeratedMarch 27, 2007
Last updated in NPPESJuly 8, 2007
Mailing address23412 Brink Rd, Carlyle, IL 62231-4032

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