Mary Koch, LMHC
Therapist in Iowa
Mary Koch, Licensed Mental Health Counselor (LMHC), brings eight years of clinical experience to her practice in Iowa.
- Licensed inIowa, Florida
- License088801, MH21935
- NPI 1336651363
- Experience8+ years
- LanguagesEnglish
Details are as listed on the therapist's public professional profile. You can check any license with the state board and any NPI with the national registry.
About Mary
Mary Koch, Licensed Mental Health Counselor (LMHC), brings eight years of clinical experience to her practice in Iowa. She creates a calm, nonjudgmental space where people can talk through hard things and begin to notice small changes. Mary aims to make therapy feel straightforward and approachable for someone under stress or facing big life shifts.
Her style is conversational and practical. Sessions often include gentle reframing - repeating back what a person has said in a new way so they can hear it themselves.
Background and approach
She encourages noticing small positives and helps people name feelings like anger, grief, or shame without judgment. Mary uses a mix of approaches to fit each person’s needs. Attachment-based ideas guide work on connection and patterns from early relationships.
Cognitive Behavioral Therapy (CBT) and Acceptance and Commitment Therapy (ACT) help with thoughts, behaviors, and values-driven goals. Client-centered and emotionally-focused techniques shape how she listens and responds in session. Her background includes outpatient work with people facing substance use and dual diagnosis, school-based settings from elementary to college levels, and time providing services in correctional facilities.
She has experience supporting people dealing with depression, trauma, anxiety, identity questions, and relationship-related concerns. Sessions are offered by video, phone, live chat, or text messaging to fit different schedules and comfort levels. Mary checks messages during weekday hours and invites questions about scheduling.
To begin, follow the site’s matching steps to find a time that works.
Credentials
- LMHC (Iowa)
- License 088801 · expires September 2026
- LMHC (Florida)
- License MH21935 · expires March 2027
- NPI
- 1336651363 · national provider identifier
Both are public records. A state board register will confirm a license and its standing, and the national registry will confirm an NPI. This directory copies what the therapist lists and checks neither.
Focus areas and approaches
Everything Mary lists on their public professional profile, in their own terms.
- Stress, Anxiety
- Trauma and abuse
- Sleeping disorders
- Self esteem
- Depression
- Addictions
- LGBT
- Grief
- Anger management
- Bipolar disorder
- Coping with life changes
- Abandonment
- Attachment issues
- Avoidant personality
- Blended family issues
- Body image
- Co-morbidity
- Codependency
- Commitment issues
- Communication problems
- Control issues
- Coping with natural or human-caused disaster
- Dependent personality
- Dissociation
- Divorce and separation
- Domestic violence
- Drug and alcohol addiction
- Emptiness
- Family of origin issues
- Family problems
- Fatherhood issues
- Fertility issues
- First responder issues
- Forgiveness
- Gender dysphoria
- Guilt and shame
- HIV / AIDS
- Hoarding
- Hospice and end-of-life counseling
- Impulsivity
- Infidelity
- Isolation / loneliness
- Jealousy
- Life purpose
- Men's issues
- Midlife crisis
- Veteran and Armed Forces Issues
- Money and financial issues
- Mood disorders
- Multicultural concerns
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Personality disorders
- Phobias
- Post-traumatic stress
- Prejudice and discrimination
- Seasonal Affective Disorder (SAD)
- Self-harm
- Self-love
- Sexual assault and abuse
- Sexuality
- Social anxiety and phobia
- Somatization
- Traumatic brain injury
- Women's issues
- Workplace issues
- Young adult issues
Approaches Mary names
- Attachment-Based Therapy
- Acceptance and Commitment Therapy (ACT)
- Client-Centered Therapy
- Cognitive Behavioral Therapy (CBT)
- Emotionally-Focused Therapy (EFT)
- Mindfulness Therapy
- Motivational Interviewing
- Psychodynamic Therapy
- Solution-Focused Therapy
- Trauma-Focused Therapy
Naming an approach is not evidence of training in it. This directory copies what each therapist lists and does not check training records.
Online support
How attachment and action-focused approaches work online
Attachment-based therapy looks at patterns of connection and how early relationship experiences shape current reactions. In sessions people talk about relationship history and current bonds to notice repeating cycles and try new ways of relating. Acceptance and Commitment Therapy (ACT) focuses on values and living a meaningful life even with difficult thoughts or feelings, using small behavioral steps to move toward what matters. Client-centered therapy centers on the person’s experience, with the therapist offering nonjudgmental listening and reflection to help people find their own solutions.Mary uses these approaches collaboratively. She will talk with the person about goals, try out techniques, and adjust the plan based on what helps. Finding the right mix of methods is part of the work together rather than a one-time decision.
Online sessions are offered by video, phone, live chat, or text-based messaging to fit different needs. Video calls allow face-to-face conversation and visual cues. Phone sessions can work when bandwidth is limited or a quieter voice check-in is needed. Live chat and text messaging are useful for brief check-ins, homework support, or when someone prefers writing to speaking. These options make it easier to fit therapy into work, caregiving, or travel schedules while keeping the focus on progress and practical steps.
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Frequently asked
What kinds of concerns does she help address?
She works with stress, anxiety, depression, trauma and abuse, addictions, sleep problems, low self-esteem, grief, anger, bipolar symptoms, and coping with life changes among other concerns.
How would you describe her therapeutic style?
Her approach is warm and conversational, with practical reframing and reflective listening. She blends gentle challenge with support to help people notice different ways of thinking and behaving.
What is her clinical background?
She has eight years of experience, including outpatient substance and dual-diagnosis work, school settings, and correctional facility experience.
What are her professional credentials and location?
She is a Licensed Mental Health Counselor (LMHC) with licensure in Florida and Iowa, and she practices from Iowa.
Which languages are supported and can international clients work with her?
Sessions are offered in English. International clients are not currently accepted.
What session formats are available?
She offers video calls, phone sessions, live chat, and text-based messaging to accommodate different preferences and schedules.
How is cost handled for sessions?
Cost varies by location and therapist availability; sessions use a subscription model that can be canceled at any time.
What is the process for getting started?
Begin by selecting the Start Therapy button, complete the short matching questionnaire, and schedule sessions according to the therapist’s availability.
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