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

Randall Koch, MS, LPC

Individual provider Professional Counselor · NPI 1336563311

Randall Koch, MS, LPC is a Mental Health Counselor in Petoskey, Michigan. Qualified in 1988, 38 years ago. Practices with Little Traverse Bay Bands of Odawa Indians, a 13-clinician group and accepts Medicare assignment. Licensed in Illinois and Michigan.

Years since qualifying
38
Licensed in
IL, MI
In the registry since
2014
Specialties on file
2
What do these letters mean?
MS — Master of Science
A graduate science degree.
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

704 Emmet St
Petoskey, MI 49770-2910
Phone: (231) 347-5511
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 6401012477 (MI)
Professional Counselor Taxonomy 101YP2500X · Licence 180.005305 (IL)

Record details

NPI number1336563311
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , LPC
Sole proprietorNo
NPI enumeratedFebruary 11, 2014
Last updated in NPPESFebruary 11, 2014
Mailing address704 Emmet St, Petoskey, MI 49770-2910

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 1988 (38 years in practice)
Group practice Little Traverse Bay Bands Of Odawa Indians — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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