Alexandra Koch

Physician Assistant

Durham, NC | Telehealth


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Overall Rating - 97 Reviews

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About Alexandra Koch, PA-C, MHS

Ms. Koch believes in a holistic approach to healthcare. In order to effectively manage a chronic health condition, whether psychological or physical, Alexandra maintains that it is essential to treat the whole person, while considering their unique life circumstances. She knows that we cannot be at our best mentally when physical health is compromised, and vice versa. Alexandra is excited about de-stigmatizing mental illness, building empathetic and honest relationships and encouraging her patients to become the best versions of themselves. She enjoys taking the time to educate patients about evidence-based lifestyle modifications and complimentary treatments that can boost the efficacy of and/or serve as alternatives to prescription medications.

Education & Certifications

– Master of Health Sciences in Physician Assistant Studies from the University of North Carolina in Chapel Hill, NC
– Certificate in Medical Assisting from Durham Technical Community College in Durham, NC
– Certified by the National Commission on Certification of Physician Assistants (NCCPA)
– Certified by the American Heart Association in Basic Life Support (BLS) and in Advanced Care Life Support (ACLS)
– Safe Zone Ally certified by the UNC Chapel Hill LGBTQ Center
– Member of the American Academy of Physician Assistants, the North Carolina Academy of Physician Assistants and the Neuroscience Education Institute
– Founded the Physician Assistant Student Society at UNC-CH

Conditions Treated

  • Attention Deficit Disorder (ADD)
  • Adjustment Concerns
  • Alcohol Use
  • Anger
  • Anxiety / Stress
  • Depression
  • Depression with Suicidality
  • Generalized Anxiety Disorder
  • Grief
  • Irritability
  • LGBTQ+ Care
  • OCD
  • Phobias
  • Post-Partum / Pregnancy Depression
  • PTSD/Trauma
  • Tourette's Syndrome
  • Treatment Resistant Depression
  • Women's Health - Hormonal Imbalance

Insurance Accepted

  • Aetna NC
  • Cigna NC
  • Tricare NC
  • Magellan NC
  • Medcost NC
  • Medicare NC
  • UBH NC
  • Humana NC
  • Bright Health NC

Don’t see your plan? Call us at 855-501-1004 to see if you are covered.

Insurance plans may vary by location and are subject to change.



May 27, 2022

I'm very pleased


May 26, 2022

Ali is excellent and pays attention to every detail of the cares she provides. She keeps up with how different aspects of my life are going and is easily accessible if I have a problem. She is very sympathetic.


May 26, 2022

My therapist's patience and commitment to my welfare. The entire experience has been very helpful to me.


March 17, 2022

Alexandra volunteered to extend my interval between visits as I feel Ive been doing well


March 10, 2022

My provider is always personable, professional and insightful about my care.


October 14, 2021

Alexandria really works hard to find the right meds for my changing issues! I thank God for her. THANK YOU for your excellence in care


September 10, 2021

Alexandra s caring, listening spirit. She seems to be very knowledgeable in her field.


September 9, 2021

Professional and easy to connect with.


September 3, 2021

Alex is a very attentive provider she listens and follows up on everything I mention!


September 1, 2021

She listens and responds with action


August 26, 2021

Ali has changed my life. I suffer from a severe pain condition and she's found a combination of medications that have provided significant relief.


August 17, 2021

The whole appointment I feel like she really listened to me .. haven t felt that from a healthcare professional when it comes to my mental health so to finally be heard felt like a weight off my shoulders alone. I would 100% recommend this place to anyone. It was an A+ first experience!!


August 7, 2021

The comfort Alexandra gives me through her soft confident voice is truly a gift.


August 5, 2021

Very understanding and caring and answered all questions. Very happy with my provider


July 30, 2021

Since July of 2019, I ve received consistent mental health care and medication management from Alexandra Ali Koch. Her care has been informative, professional, yet personable, and reliable. My provider considers my unique situation, needs, and suggestions for decisions made in my treatment plan. Ali is an asset on my treatment team; therefore, I m willing to travel two hours to receive the best services for my mental health needs at MindPath.


July 26, 2021

Provider is easy to talk to


July 23, 2021

Dr. Koch is always a pleasure to see, always super nice and professional.


July 23, 2021

Alex has helped me more than I could ever have ever imagined. She is amazing at her job


July 16, 2021

Their care and concern for my well-being goes above and beyond anything I have experienced with any other physician. It is nice to have the patient portal to contact the provider with any concerns. They are always quick to respond.


July 14, 2021

She always listens and makes you feel heard.


July 12, 2021

The professionalism shown by Dr. Koch and staff is wonderful and much appreciated


June 25, 2021

Alex made a change in my medication that has been life-changing! She is the best medication manager I ve ever had. My previous psychiatrists were nowhere near as perceptive as she is. The organization is great!


June 14, 2021

Alexandra is kind and thorough and a very skilled listener. Administrative staff was great


June 10, 2021

She heard me. Changed my life !!!!!


June 9, 2021

When I first started coming to this practice I was a bit nervous. But once I sat down with my first provider i felt that i was exactly where i needed to be. The waiting rooms at the time weren't crowded which helped with my anxiety. And the staff made the checkin process quick and stress free. Now four of my family members are seen at Mindpath.


June 4, 2021

Dr. Koch is amazing, very easy to talk to and compassionate.


May 26, 2021

she's awesome


May 20, 2021

Her compassion


May 20, 2021

The staff has been so helpful and so available.


May 12, 2021

Alex is such a great psychiatrist. She makes me feel heard. She makes sense of my emotional experience. She helps me understand my diagnosis and how to get better.


April 29, 2021

Dr. Koch is really great. She's up on new methods, new to me anyway.


April 27, 2021

The whole experience has been great. First time I've been in therapy as an adult and Dr. Koch has been wonderful. Feel relaxed and open when talking with her.


April 22, 2021

Alexandra has been patient and consistent, which is important to me. I am very happy with my care at MindPath


April 15, 2021

I have a rare condition that causes nerve pain, which was unremitting for 4 years. Ali recommended a medication that has alleviated the pain. I really appreciate her out-of-the-box thinking that helps me every day!


April 14, 2021

This was my first visit with her. She was kind and caring. I felt at ease talking to her.


April 14, 2021

Alley is great to work with!!


April 12, 2021

Just felt that Alex has a calm aura about her which made it easy to talk with, I look forward to speaking with her again.


April 9, 2021

Allie Koch specifically, I would recommend 10/10. She is so wonderful and really makes me feel like we are collaborating together about my mental health. I feel she listens to my concerns and always answers questions without judgment or condescension. I feel respected and understood under her!


April 8, 2021

Alli is good at asking questions that pertain to my problem


April 2, 2021

Alley works with me to make sure my health is good and to keep tabs on my meds. I feel she really listens.


April 1, 2021

I really feel good about working with Alexandra Koch. It has been a productive experience.


January 27, 2021

I am THRILLED with Allie Koch! I tell a lot of people how much I like working with her. I'm very grateful for the care I receive through Allie Koch. She is the first psychiatrist I have seen where I really feel like we are collaborating together for my mental health, as opposed to just having meds pushed at me. I feel she genuinely listens to and cares about my concerns and she always answers any questions I have patiently and thoroughly to where I feel I have what I need to understand and make decisions. I'm truly glad I found her!


January 26, 2021

I just feel like my provider really listens to me.


January 25, 2021

Management of my medication was immediate and highly successful. My PA listened very carefully and intently.


January 19, 2021

Alexandra is great!


January 18, 2021

Alex has helped to find the medication that is finally working for me.


January 12, 2021

Dr. Koch always makes me feel heard, validated and supported. I value her opinion and professional guidance and look forward to our appointments.


January 11, 2021

Dr. Koch is very pleasant and does not judge or make me feel ashamed when I see her. She always has a genuine smile.


January 7, 2021

Ali is phenomenal! She is the reason I stay.


January 5, 2021

Ms. Koch is very caring and concerned about my welfare. She asks about my situation and helps me to evaluate how I am doing with my medications.


January 5, 2021

She is truly concerned about my mental and physical health.


January 4, 2021

Shes just been super kind and helpful from the beginning and hasn't ever made me feel bad or like an idiot like other doctors have. I really appreciate this about her


December 23, 2020

On average, I ve experienced quick turnaround in communication between me and my provider. This is something I didn t have with previous providers.


December 23, 2020

The person I first spoke to for an appointment was very kind and helpful and made something that seemed hard feel easier. Alexandra is also great


December 23, 2020

An overall positive experience


December 22, 2020

She is attentive. She listens to all I say.


December 21, 2020

Alexandra Koch is deeply empathetic and extremely helpful and diligent


December 17, 2020

Ali is wonderful!


December 16, 2020

Ali is very knowledgeable, asks lots of questions and seems to genuinely care.


November 2, 2020

After our very 1st app. I left with confidence in my provider and my recovery. I Know she cares and does everything in various ways to help me. She s professional and I always feel thankful after each appointment. I always feel that I m being heard ...On a scale of 1-10 - She s 10++++++


February 5, 2020

Scheduling was easy and everyone I interacted with wad courteous. My provider listened intently, treated me with dignity, and really helped to meet my needs. I am very grateful to have been seen by MindPath!


January 22, 2020

Ms. Koch was very informative and thorough. Her kind manner allowed me to drop my guard and be honest. She helped me come up with a mental health plan and gave me renewed hope.


January 11, 2020

Alexandra is very thorough and compassionate


December 31, 2019

The provider made me feel heard, valued and cared for. I am very thankful for the care I've received and will continue to receive.


November 6, 2019

My provider was incredible! She listened to my concerns and developed a plan to address them.