Joshua Koch
Pre-Licensed Professional (he, him)
Verified by Psychology Today Verified by Psychology Today
13 Endorsed
Let's Connect (206) 456-1251

Hi I'm Josh, and I believe that life has its seasons - moments of joy, and times of struggle. It's full of ups and downs, transitions, and unexpected challenges. Sometimes, we find ourselves weighed down by the pressures to “hold it all together” while quietly carrying burdens no one else sees. Reaching out for help can feel difficult, and even vulnerable, but it can also be the first brave step toward growth, clarity, and healing.
I believe that every person holds the strengths they need to overcome life’s obstacles - sometimes, they just need a safe space and the right support to unlock that strength.
Therapy isn’t about being “broken,” it’s about discovering the power, resilience, and direction that already exists within you. I served in the Army for 24-years, retiring as an E-8, and have learned first hand the value of perseverance, inner strength, and personal connection. I bring that same grounded perspective into my work as a therapist.
My approach is compassionate, non-judgmental, and collaborative -whether you’re navigation relationship issues, personal struggles, trauma, or life transitions. Wherever you are on your journey, I want you to know that you’re not alone. I look forward to connecting with you and exploring what brought you here, and where you’d like to go next.
Take the first step to help. Call or Email Joshua Koch now - (206) 456-1251
Let's Connect (206) 456-1251

Finances
Fees
- Individual Sessions $155
- Couple Sessions $165
- Sliding scale: apply if you may be eligible
Payment Methods
ACH Bank transfer, American Express, Apple Cash, Discover, Health Savings Account, Mastercard, VisaInsurance
- Aetna
- Anthem
- Asuris Northwest Health
- BHS | Behavioral Health Systems
- Blue Cross
- Blue Shield
- BlueCross and BlueShield
- Carelon Behavioral Health
- Cigna and Evernorth
- ComPsych
- Coordinated Care
- First Choice Health | FCH
- First Health
- Government Employees Health Association (GEHA)
- Health Net
- Healthcare Management Administrators
- Humana
- Kaiser (Out-of-Network)
- LifeWise
- Managed Health Network (MHN)
- Moda Health
- MultiPlan
- MultiPlan Private Healthcare Systems (PHCS)
- Optum
- PacificSource
- Premera Blue Cross
- Providence
- Regence
- Uniform | UMP
- United Medical Resources (UMR)
- UnitedHealthcare UHC | UBH
- Wellpoint | Amerigroup
- Out of Network
Qualifications
- Verified by Psychology Today Supervised by Cory Wilson (Washington / LF60682772) Joshua Koch
- Attended California State University , B.A. Psychology, Graduated 2008
Education and Years In Practice
Specialties and Expertise
Top Specialties
- Relationship Issues
- LGBTQ+
- Self-discovery and Differentiation
Expertise
- Adoption
- Anger Management
- Antisocial Personality
- Anxiety
- Career Counseling
- Codependency
- Coping Skills
- Depression
- Divorce
- Drug Abuse
- Emotional Disturbance
- Family Conflict
- Grief
- Life Transitions
- Marital and Premarital
- Men's Issues
- Peer Relationships
- Polyamory & ENM
- Self Esteem
- Stress
- Testing and Evaluation
- Veterans
13 Endorsements
Client Focus
Age
Teen ,
Adults ,
Elders (65+)
Participants
Individuals ,
Couples ,
Family
Communities
Bisexual Allied ,
Deaf Allied ,
Gay Allied ,
HIV / AIDS Allied ,
Immuno-disorders ,
Intersex Allied ,
Lesbian Allied ,
Little Person Allied ,
Non-Binary Allied ,
Queer Allied ,
Racial Justice Allied ,
Sex Worker Allied ,
Single Parent ,
Transgender Allied
Religion
Christian
Age
Teen ,
Adults ,
Elders (65+)
Participants
Individuals ,
Couples ,
Family
Communities
Bisexual Allied ,
Deaf Allied ,
Gay Allied ,
HIV / AIDS Allied ,
Immuno-disorders ,
Intersex Allied ,
Lesbian Allied ,
Little Person Allied ,
Non-Binary Allied ,
Queer Allied ,
Racial Justice Allied ,
Sex Worker Allied ,
Single Parent ,
Transgender Allied
Religion
Christian
Treatment Approach
Types of Therapy
- Family / Marital
- Family Systems
- Humanistic
- Intergenerational
- Narrative
- Person-Centered
- Relational
- Systemic