Active NPI
Elizabeth Kopil, BCBA
- Behavior Analyst
- Merrillville, IN
National Provider Identifier
1447726211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 11939899
- Practice address
- 8398 Mississippi St
Merrillville, IN 46410-6316 - Phone
- (219) 755-4049
- Fax
- (219) 769-1048
- NPI assigned
- Oct 19, 2018
- Last updated
- Sep 21, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Behavior Analyst | 103K00000X | 11939899 | IN | Primary |
Addresses
Primary practice location
8398 Mississippi St
Merrillville, IN 46410-6316
Mailing address
3605 Oak Grove Dr
Valparaiso, IN 46383-2050
Phone (708) 288-7791
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11939899 | IN | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Accessabilities, Inc. | Past | Accepting new patients | |
| Milestone Therapy | Behavior Analyst | Past | Accepting new patients |
| Westside Childrens Therapy | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Merrillville, IN
- NPI 1235216672
-
- Physical Therapist
- Joliet, IL
- NPI 1972783900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"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.