Individual provider Active NPI

Justin Kopronica, BA, CT

  • Mental Health Counselor
  • West Chester, OH
National Provider Identifier
1427650928
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C.2405830 Issued in OH
Practice address
8809 Cincinnati Dayton Rd
West Chester, OH 45069-3134
Phone
(513) 360-8205
NPI assigned
Nov 10, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C.2405830 OH Primary

Addresses

Primary practice location

8809 Cincinnati Dayton Rd
West Chester, OH 45069-3134

Mailing address

4643 Swift CT
Lebanon, OH 45036-7564
Phone (937) 239-7973

Other practice location 1

4643 Swift Ct
Lebanon, OH 45036-7564
Phone (937) 239-7973

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
Bachelor of Arts

State licenses

LicenseStateTypeSpecialty
C.2405830OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Catalyst Counseling LLC Mental Health CurrentSince Jul 21, 2024 Accepting new patients

Locations

8809 Cincinnati Dayton Rd
West Chester, OH 45069
Phone (513) 360-8205

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1604966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1427650928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4643 SWIFT CT",
            "city": "LEBANON",
            "state": "OH",
            "postal_code": "450367564",
            "telephone_number": "937-239-7973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8809 CINCINNATI DAYTON RD",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450693134",
            "telephone_number": "513-360-8205"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4643 Swift Ct",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "OH",
            "postal_code": "450367564",
            "country_code": "US",
            "telephone_number": "937-239-7973",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOPRONICA",
        "first_name": "JUSTIN",
        "credential": "BA, CT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-10",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.2405830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; 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.