Individual provider Active NPI

Elizabeth Kopil, BCBA

  • Behavior Analyst
  • Merrillville, IN
National Provider Identifier
1447726211
Registry record updated Sep 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
11939899 Issued in IN
Practice address
8398 Mississippi St
Merrillville, IN 46410-6316
Phone
(219) 755-4049
Fax
(219) 769-1048
NPI assigned
Oct 19, 2018
Sex
Female
Sole proprietor
No

Organizations & group practices 3

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.

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
11939899INMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Milestone Therapy Behavior Analyst Past Accepting new patients
Accessabilities, Inc. PastSince Sep 27, 2020 Accepting new patients
Westside Childrens Therapy Past Accepting new patients

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Behavior Analyst 103K00000X 11939899 IN Primary

Addresses

NPPES NPI Registry

Primary practice location

8398 Mississippi St
Merrillville, IN 46410-6316

Mailing address

3605 Oak Grove Dr
Valparaiso, IN 46383-2050
Phone (708) 288-7791

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 21, 2020.

{
    "created_epoch": "1539907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600646400000",
    "number": "1447726211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3605 OAK GROVE DR",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463832050",
            "telephone_number": "708-288-7791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8398 MISSISSIPPI ST",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464106316",
            "telephone_number": "219-755-4049",
            "fax_number": "219-769-1048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPIL",
        "first_name": "ELIZABETH",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-19",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IN",
            "license": "11939899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrillville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2020; 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.