Organization Active NPI

Cope Center, Inc

  • Clinical Social Worker
  • Mary Esther, FL
National Provider Identifier
1073617155
Registry record updated Aug 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW 3621 Issued in FL
Legal business name
COPE CENTER, INC
Practice address
103 Pinehaven Dr
Mary Esther, FL 32569-3323
Phone
(850) 218-3532
NPI assigned
Sep 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Cheryl Ann Stulzaft
Title
Comprehensive Assessor
Phone
(850) 218-3532

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X ISW 3621 FL Primary

Addresses

Primary practice location

103 Pinehaven Dr
Mary Esther, FL 32569-3323

Mailing address

103 Pinehaven Dr
Mary Esther, FL 32569-3323
Phone (850) 218-3532

Other identifiers 1

IdentifierTypeStateIssuer
766724800MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218153600000",
    "number": "1073617155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 PINEHAVEN DR",
            "city": "MARY ESTHER",
            "state": "FL",
            "postal_code": "325693323",
            "telephone_number": "850-218-3532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 PINEHAVEN DR",
            "city": "MARY ESTHER",
            "state": "FL",
            "postal_code": "325693323",
            "telephone_number": "850-218-3532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COPE CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-11",
        "last_updated": "2008-08-08",
        "status": "A",
        "authorized_official_last_name": "STULZAFT",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "COMPREHENSIVE ASSESSOR",
        "authorized_official_telephone_number": "850-218-3532",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "ISW 3621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "766724800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mary Esther, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.