Katie Elise Kopan, MAMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

7400 Metro Blvd
413
Edina, MN 55439-2316

Phone

(612) 598-1414

NPI assigned

May 20, 2016

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1463702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463702400000",
    "number": "1447607346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 W 28TH ST",
            "address_2": "4",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554164369",
            "telephone_number": "612-718-1213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 METRO BLVD",
            "address_2": "413",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554392316",
            "telephone_number": "612-598-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPAN",
        "first_name": "KATIE",
        "middle_name": "ELISE",
        "name_prefix": "Mrs.",
        "credential": "MAMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-20",
        "last_updated": "2016-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUPERVISORS INDIVIDUAL NPI NUMBER JANET M ANDERSON, LICSW",
            "identifier": "1992808844",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1891819686",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark Koller
• Harisha Kommana, MD
• Sushila Dhinakar Kompala, M.D.
• Tara Konat, PA
• Brianna Koopman, APN
• Jordan Rachel Kopfer, PA
• Marynne L Kopischke, N.P.
• Kimberly Kopitzke, RN, CNP
• Alan J Kopp, M.D.
• Nathan William Koranda, DNP

• Marriage & Family Therapist in Edina, MN
• Providers in Edina, MN by specialty
• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2016; 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.