Individual provider Active NPI

Carolyn E. Zoppi, LPC

  • Professional Counselor
  • Southport, CT
National Provider Identifier
1184088700
Registry record updated Apr 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
002897 Issued in CT
Practice address
49 John St
Suite 102
Southport, CT 06890-1484
Phone
(203) 581-0107
Fax
(203) 255-7486
NPI assigned
Apr 9, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 002897 CT Primary

Addresses

Primary practice location

49 John St
Suite 102
Southport, CT 06890-1484

Mailing address

49 John St
Suite 102
Southport, CT 06890-1484
Phone (203) 581-0107

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
002897CTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Balanced Beginnings Professional Current Accepting new patients
Coastal Connecticut Counseling LLC PastSince Dec 1, 2015 Accepting new patients
New Learning Therapy Center PastSince Apr 1, 2015 Accepting new patients

Locations

765 Post Rd
Ste 2
Fairfield, CT 06824
Phone (203) 581-0053

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.

NPI Registry JSON

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

{
    "created_epoch": "1460160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460160000000",
    "number": "1184088700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 JOHN ST",
            "address_2": "SUITE 102",
            "city": "SOUTHPORT",
            "state": "CT",
            "postal_code": "068901484",
            "telephone_number": "203-581-0107",
            "fax_number": "203-255-7486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 JOHN ST",
            "address_2": "SUITE 102",
            "city": "SOUTHPORT",
            "state": "CT",
            "postal_code": "068901484",
            "telephone_number": "203-581-0107",
            "fax_number": "203-255-7486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOPPI",
        "first_name": "CAROLYN",
        "middle_name": "E.",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-09",
        "last_updated": "2016-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "002897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southport, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2016; 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.