Audra Maria Popik, MACC, LSW

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

C.1700191 Issued in OH

Practice address

6758 Warrington Dr
North Olmsted, OH 44070

Phone

(440) 821-0424

NPI assigned

Nov 1, 2013

Last updated

May 14, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2012

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/joshuatreehealth/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Journey Community Church

  dba Joshua Tree Behavioral Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fairview Park, OH
  • NPI 1619685815

  Multi-Specialty

  Medicare reassignment NPD
• Agape Counseling and Consulting

  • Addiction (Substance Use Disorder) Counselor
  • Westlake, OH
  • NPI 1144979147
  NPD Authorized official

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

{
    "created_epoch": "1383264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526256000000",
    "number": "1205265188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6758 WARRINGTON DR",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440705052",
            "telephone_number": "440-821-0424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6758 WARRINGTON DR",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "44070",
            "telephone_number": "440-821-0424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPIK",
        "first_name": "AUDRA",
        "middle_name": "MARIA",
        "name_prefix": "Mrs.",
        "credential": "MACC, LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-01",
        "last_updated": "2018-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "C.1700191",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.1700191",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C.1700191",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.0024565",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trista D Piccola, PHD, LISW-S
• Ellen Hook Pietz, MSSA
• Gregory Alan Plona, D.M.D.
• Raymond Peter Plona III, D.D.S. , M.D.
• Tiffani Rene Poier, IMFT
• Melody Popik
• Ashley L Powell, LISW
• Premier Home Modifications LLC
• Premier Physicians Centers Inc
• Tayleigh Claire Price

• Addiction (Substance Use Disorder) Counselor in North Olmsted, OH
• Providers in North Olmsted, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2018; 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.

Verify at the official NPI Registry.