Active NPI
David James Kopp, MA
- Mental Health Counselor
- Republic, WA
National Provider Identifier
1295879039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- RC00032176
- Practice address
- 42 Klondike Rd
Republic, WA 99166-9701 - Phone
- (509) 775-3341
- Fax
- (509) 775-8906
- NPI assigned
- Feb 16, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | RC00032176 | WA | Primary |
Addresses
Primary practice location
42 Klondike Rd
Republic, WA 99166-9701
Mailing address
7909 262ND St NW
Stanwood, WA 98292-6253
Phone (360) 629-1062
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RC00032176 | WA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ferry County Counseling Services | Past | Accepting new patients | |
| Ferry County Counseling Services | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Republic, WA
- NPI 1376686188
-
- Community/Behavioral Health Agency
- Republic, WA
- NPI 1669562047
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295879039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7909 262ND ST NW",
"city": "STANWOOD",
"state": "WA",
"postal_code": "982926253",
"telephone_number": "360-629-1062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42 KLONDIKE RD",
"city": "REPUBLIC",
"state": "WA",
"postal_code": "991669701",
"telephone_number": "509-775-3341",
"fax_number": "509-775-8906"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOPP",
"first_name": "DAVID",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "RC00032176",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Republic, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.