Joy E. Koeppen, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904004928 Issued in VA

Practice address

10372 Democracy LN
B
Fairfax, VA 22030-2522

Phone

(703) 591-2551

NPI assigned

Feb 26, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jun 16, 2015 through Jun 16, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Cornerstone Family Counseling, P.C.

  • Mental Health Counselor
  • Fairfax, VA
  • NPI 1770649550
  NPD (past)

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

{
    "created_epoch": "1393372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393372800000",
    "number": "1366867434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10372 DEMOCRACY LN",
            "address_2": "B",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10372 DEMOCRACY LN",
            "address_2": "B",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302522",
            "telephone_number": "703-591-2551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOEPPEN",
        "first_name": "JOY",
        "middle_name": "E.",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-26",
        "last_updated": "2014-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904004928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Anne Kochuba, R.N, I.B.C.L.C
• Carrington L Koebele, MD
• Abigail Mary Koehler
• Rachel L Koenig
• Scott Robert Koenigsberg, LPC
• Regina Anne Koffman
• Koh & Associates, DDS, P.C.
• Rachel Kokal, PA-C
• Laurel Kokilananda, MS, BCBA
• Jessica Ann Marie Kollaros, CCC-SLP

• Clinical Social Worker in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.