Tiffany
Marriage & Family Therapist, LMFT (she, her)
Verified by Psychology Today Verified by Psychology Today
1 Endorsed
Let's Connect (989) 818-9183

Available both in-person and online
75-5737 Kuakini Highway Suite 201 Kailua Kona, HI 96740
I’m Tiffany Koch, LMFT, and owner of Koch Kounseling in Kailua-Kona, Hawaii. I work with individuals, couples, and families who feel stuck in patterns affecting their relationships, identity, or life transitions. Many of my clients are navigating not only personal challenges but also cultural expectations, family dynamics, or discrimination that add extra layers of stress. Using a collaborative, person-centered approach, I help clients gain insight, improve communication, and develop tools for meaningful change so they can feel more grounded, connected, and empowered.
I offer culturally responsive, person-centered therapy for individuals, couples, and families. My approach is collaborative and eclectic, tailoring therapy to your needs. I specialize in relationships, communication, and sex therapy, and am an ally to the LGBTQIA+ community, supporting meaningful, lasting growth.
Reaching out for support can feel like a big step, especially when things feel overwhelming. You don’t have to navigate it alone. I offer a space to slow down, feel heard, and make sense of what you’re going through. If this resonates with you, I invite you to click the link to my website to get started.
Call or Email Tiffany Koch now for a free 15 minute consultation - (989) 818-9183
Let's Connect (989) 818-9183

Finances
Fees
- Individual Sessions $150
- Couple Sessions $175
Payment Methods
American Express, Cash, Check, Discover, Mastercard, VisaInsurance
- Hawaii Medical Assurance Association
- Hawaii Medical Services Association
- Lyra Health
- Optum
- UnitedHealthcare UHC | UBH
- University Health Alliance
- Out of Network
Tiffany Koch
Marriage & Family Therapist, LMFT
Call or Email me for a free 15 minute consultation now - (989) 818-9183
Qualifications
- Verified by Psychology Today Licensed by State of Hawaii / MFT 977 Tiffany Koch
- In Practice for 8 years
- Attended Thomas Jefferson University, Masters in Family Therapy, Graduated 2020
- Membership with The American Association of Sexuality Educators, Counselors and Therapists (AASECT) 1505064 / 2024
Education and Years In Practice
Additional Credentials
Tiffany Koch
Marriage & Family Therapist, LMFT
Call or Email me for a free 15 minute consultation now - (989) 818-9183
Specialties and Expertise
Top Specialties
- Sex Therapy
- Relationship Issues
- LGBTQ+
Expertise
- ADHD
- Anxiety
- Coping Skills
- Depression
- Family Conflict
- Infidelity
- Life Transitions
- Marital and Premarital
- Men's Issues
- Peer Relationships
- Polyamory & ENM
- Self Esteem
- Self-Harming
- Sex-Positive & Kink Friendly
- Sexual Abuse
- Stress
- Suicidal Ideation
- Teen Violence
- Transgender
- Trauma and PTSD
- Women's Issues
Tiffany Koch
Marriage & Family Therapist, LMFT
Do these issues align with your needs? Email or (989) 818-9183
Endorsement
Client Focus
Age
Teen ,
Adults ,
Elders (65+)
Participants
Individuals ,
Couples ,
Family
Communities
Bisexual Allied ,
Gay Allied ,
HIV / AIDS Allied ,
Intersex Allied ,
Lesbian Allied ,
Non-Binary Allied ,
Queer Allied ,
Racial Justice Allied ,
Sex Worker Allied ,
Single Parent ,
Transgender Allied
Age
Teen ,
Adults ,
Elders (65+)
Participants
Individuals ,
Couples ,
Family
Communities
Bisexual Allied ,
Gay Allied ,
HIV / AIDS Allied ,
Intersex Allied ,
Lesbian Allied ,
Non-Binary Allied ,
Queer Allied ,
Racial Justice Allied ,
Sex Worker Allied ,
Single Parent ,
Transgender Allied
Treatment Approach
Types of Therapy
- Acceptance and Commitment (ACT)
- Cognitive Behavioral (CBT)
- Dialectical Behavior (DBT)
- Eclectic
- Emotionally Focused
- Family Systems
- Gottman Method
- Internal Family Systems (IFS)
- Motivational Interviewing
- Narrative
- Person-Centered
- Relational
- Solution Focused Brief (SFBT)
- Structural Family Therapy
- Trauma Focused
Tiffany Koch
Marriage & Family Therapist, LMFT
Ask about what different forms of therapy will be like. Email or (989) 818-9183
Location
Primary Location
Koch Kounseling
75-5737 Kuakini Highway
Suite 201
Kailua Kona, HI 96740
(989) 818-9183Email Me