Thomas Richard Kupec, PSY.D, LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

E-0003444 Issued in OH

Practice address

132 S Broad St Ste 203
Canfield, OH 44406-1437

Phone

(330) 533-5450

NPI assigned

Mar 16, 2006

Sex

Male

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

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Creekside Counseling Center, LLC

  • Mental Health Counselor
  • Canfield, OH
  • NPI 1518192608

  Mental Health, OH

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480809600000",
    "number": "1457320889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 N BRIARCLIFF DR",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444061010",
            "telephone_number": "330-533-4272",
            "fax_number": "330-533-4292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 S BROAD ST STE 203",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444061437",
            "telephone_number": "330-533-5450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUPEC",
        "first_name": "THOMAS",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "PSY.D, LPCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2016-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E-0003444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kassandra Sue Kornbau, DNP,PMHNP-BC,FNP-BC
• Eledath Unni Krishnan, MD
• Angela Catherine Krupka
• Cynthia Ann Kruzel-O'Keefe, LPCC-S
• Tiffany Marie Kubis, O.D.
• Lakhani MD LLC
• Anne Lally, LPCC-S
• Karli Noelle Lash, BS, LSW
• Matthew S Leathers, PT, DPT
• Legacy Visiting Health Services

• All providers in Canfield, OH
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.