Susan T. Coppeto LCSW PC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

R051696-1 Issued in NY

Legal business name

SUSAN T. COPPETO LCSW PC

Practice address

68 Cannon Dr.
Holbrook, NY 11741

Phone

(631) 567-6721

NPI assigned

Feb 8, 2011

Organization subpart

No

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

Authorized official

Name

Susan T. Coppeto, LCSW PC

Title

President

Phone

(631) 567-6721

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1297123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297123200000",
    "number": "1184920134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 CANNON DR",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117415219",
            "telephone_number": "631-567-6721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 CANNON DR.",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "11741",
            "telephone_number": "631-567-6721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN T. COPPETO LCSW PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-08",
        "last_updated": "2011-02-08",
        "status": "A",
        "authorized_official_last_name": "COPPETO",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-567-6721",
        "authorized_official_credential": "LCSW PC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "R051696-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Holbrook, NY
• Providers in Holbrook, NY by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2011; 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.