Individual provider Active NPI

Ashley Jean Kopp

  • Clinical Social Worker
  • Washington, MO
National Provider Identifier
1467928655
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
MO2018029242 Issued in MO
Practice address
214 Elm St Ste 207
Washington, MO 63090-2340
Phone
(573) 680-1390
NPI assigned
Oct 16, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X MO2018029242 MO Primary

Addresses

Primary practice location

214 Elm St Ste 207
Washington, MO 63090-2340

Mailing address

PO Box 35
Hermann, MO 65041-0035
Phone (573) 680-1390

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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

Enrollment IDStateProvider typePAC IDDetails
I20190805000330 MO Practitioner - Clinical Social Worker 7719214469 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Missouri, Columbia School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9 W 3Rd St
Washington, MO 63090-2630
Phone (573) 680-1390

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MO2018029242MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hermann Area Hospital District CurrentSince Aug 1, 2019 Accepting new patients
Life of Wellness Counseling LLC Clinical CurrentSince Jul 9, 2025 Accepting new patients
Hermann Area Hospital District CurrentSince Aug 1, 2019 Accepting new patients

Locations

509 W 18th St
Hermann, MO 65041
Phone (573) 486-2045

214 Elm St
Ste 207
Washington, MO 63090
Phone (573) 680-1390

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/f62890b5-77ff-44bd-a981-0a0981047b35/

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.

NPI Registry JSON

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

{
    "created_epoch": "1539648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1467928655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35",
            "city": "HERMANN",
            "state": "MO",
            "postal_code": "650410035",
            "telephone_number": "573-680-1390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 ELM ST STE 207",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "630902340",
            "telephone_number": "573-680-1390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPP",
        "first_name": "ASHLEY",
        "middle_name": "JEAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-16",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "MO2018029242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, MO

Sources for this page

Verify at the official NPI Registry.