Individual provider Active NPI

Megan Kopack, MA, LPCC, LPC

  • Mental Health Counselor
  • Sharonville, OH
National Provider Identifier
1528649019
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E.2303696 Issued in OH
Practice address
11438 Lebanon Rd Unit H
Sharonville, OH 45241-6201
Phone
(513) 400-5788
NPI assigned
Apr 16, 2021
Last updated
Sep 26, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0701012866 VA
Mental Health Counselor 101YM0800X E.2303696 OH Primary

Addresses

Primary practice location

11438 Lebanon Rd Unit H
Sharonville, OH 45241-6201

Mailing address

11438 Lebanon Rd Unit H
Sharonville, OH 45241-6201
Phone (513) 400-5788

Other practice location 1

8622 Winton Rd Ste A
Cincinnati, OH 45231-4823
Phone (513) 275-6023

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
E.2303696OHMDMental Health Counselor
0701012866VAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1618531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1528649019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11438 LEBANON RD UNIT H",
            "city": "SHARONVILLE",
            "state": "OH",
            "postal_code": "452416201",
            "telephone_number": "513-400-5788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11438 LEBANON RD UNIT H",
            "city": "SHARONVILLE",
            "state": "OH",
            "postal_code": "452416201",
            "telephone_number": "513-400-5788"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8622 Winton Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452314823",
            "country_code": "US",
            "telephone_number": "513-275-6023",
            "fax_number": "513-672-2740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOPACK",
        "first_name": "MEGAN",
        "credential": "MA, LPCC, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-16",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701012866",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.2303696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sharonville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; 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.