Stephanie Koopman, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

LMSW-33224 Issued in ID

Practice address

2805 Blaine St
Ste 120
Caldwell, ID 83605-4599

Phone

(208) 459-4412

Fax

(208) 454-7296

NPI assigned

Oct 31, 2013

Sex

Female

Sole proprietor

No

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

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.

• Peak Mental Wellness and Counseling LLC

  • Community/Behavioral Health Agency
  • Caldwell, ID
  • NPI 1528366903
  NPD (past)

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

{
    "created_epoch": "1383177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383177600000",
    "number": "1366870230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2965 E TARPON DR",
            "address_2": "SUITE 150",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836429009",
            "telephone_number": "208-287-9420",
            "fax_number": "208-287-9426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 BLAINE ST",
            "address_2": "STE 120",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836054599",
            "telephone_number": "208-459-4412",
            "fax_number": "208-454-7296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOOPMAN",
        "first_name": "STEPHANIE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-31",
        "last_updated": "2013-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": "LMSW-33224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rikki Koberlein, RN
• Steven J Koga, M.D.
• Lisa R Koltes, MD
• Kool Ridez LLC
• Koolridez L.L.C.
• Jaret Koudelka, PHARM. D.
• Leanne M Kovick, CFM
• KSS Dental Group PLLC
• Gloria Marie Lamb-Condosta, PHARMD
• Stacy Jane Lamers, DO

• Social Worker in Caldwell, ID
• Providers in Caldwell, ID by specialty
• Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2013; 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.