Active NPI
Ksenia Kopeikin, PH.D.
- Counseling Psychologist
- Austin, TX
National Provider Identifier
1104058627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 38161
- Practice address
- 3006 Bee Caves Rd Ste D310
Austin, TX 78746-5753 - Phone
- (903) 420-0843
- NPI assigned
- Aug 17, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 38161 | TX | Primary |
Addresses
Primary practice location
3006 Bee Caves Rd Ste D310
Austin, TX 78746-5753
Mailing address
877 Wild Rose Dr
Austin, TX 78737-4738
Phone (617) 945-4597
Other names 1
- Dr. Oxana Kopeikin
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3006 Bee Caves Rd
Suite D310
Rollingwood, TX 78746-5753
Phone (512) 956-6463
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38161 | TX | MD | Speech-Language Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deep Eddy Psychotherapy Management, LLC | Counseling | Current | Accepting new patients |
| Deep Eddy Advanced Care LLC | Past | Accepting new patients | |
| Deep Centered Psychiatry PLLC | Past | Accepting new patients |
Locations
508 Deep Eddy Ave
Austin, TX 78703
Phone (512) 469-0889
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Counseling Psychologist
- Austin, TX
- NPI 1457740862
-
- Psychiatry Physician
- Austin, TX
- NPI 1629853825
-
- Psychologist
- Austin, TX
- NPI 1174225247
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762300800000",
"number": "1104058627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "877 WILD ROSE DR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787374738",
"telephone_number": "617-945-4597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3006 BEE CAVES RD STE D310",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787465753",
"telephone_number": "903-420-0843"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOPEIKIN",
"first_name": "KSENIA",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-17",
"last_updated": "2025-11-05",
"certification_date": "2025-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "TX",
"license": "38161",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "OXANA",
"last_name": "KOPEIKIN",
"prefix": "DR.",
"credential": "PH.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.