Individual provider Active NPI

Sofiya Kupis

  • Social Worker
  • Dallas, TX
National Provider Identifier
1326739038
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
108603 Issued in TX
Practice address
8733 La Prada Dr
Dallas, TX 75228-5036
Phone
(214) 321-0156
NPI assigned
May 15, 2023
Last updated
May 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 108603 TX Primary

Addresses

Primary practice location

8733 La Prada Dr
Dallas, TX 75228-5036

Mailing address

430 Buckingham Rd Apt 2022
Richardson, TX 75081-5767
Phone (646) 750-5259

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
108603TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Nexus Recovery Center, Inc. PastSince May 21, 2023 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1684108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1326739038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 BUCKINGHAM RD APT 2022",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750815767",
            "telephone_number": "646-750-5259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8733 LA PRADA DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752285036",
            "telephone_number": "214-321-0156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUPIS",
        "first_name": "SOFIYA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-15",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "108603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; 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.