Active NPI
Barbara A. Koppe, MSW, LCSW
- Clinical Social Worker
- Saint Louis, MO
National Provider Identifier
1124245964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 001517
- Practice address
- 225 S Meramec Ave
Suite 404
Saint Louis, MO 63105-3511 - Phone
- (314) 863-8734
- Fax
- (314) 863-5904
- NPI assigned
- Apr 20, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 001517 | MO | Primary |
Addresses
Primary practice location
225 S Meramec Ave
Suite 404
Saint Louis, MO 63105-3511
Mailing address
225 S Meramec Ave
Suite 404
Saint Louis, MO 63105-3511
Phone (314) 863-8734
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 162129 | Other | MO | BLUE CROSS PROVIDER NUMBE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 1, 2024 through Apr 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001517 | MO | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1227484800000",
"number": "1124245964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 S MERAMEC AVE",
"address_2": "SUITE 404",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631053511",
"telephone_number": "314-863-8734",
"fax_number": "314-863-5904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 S MERAMEC AVE",
"address_2": "SUITE 404",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631053511",
"telephone_number": "314-863-8734",
"fax_number": "314-863-5904"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOPPE",
"first_name": "BARBARA",
"middle_name": "A.",
"name_prefix": "Ms.",
"credential": "MSW, LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-20",
"last_updated": "2008-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "001517",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS PROVIDER NUMBE",
"identifier": "162129",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.