Ann Marie Monica Kopec, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CW012145 Issued in PA

Practice address

400 3Rd Ave
315
Kingston, PA 18704-5816

Phone

(570) 430-0521

NPI assigned

May 22, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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 PA

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

Clinical Social Worker

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Puglisi Counseling LLCGroup PAC ID 6507252327, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Puglisi Counseling LLC

  dba Brandon Puglisi, LCSW

  • Clinical Social Worker
  • Scranton, PA
  • NPI 1760140784
  Medicare reassignment Care Compare group NPD
• Abington Counseling Center

  • Community/Behavioral Health Agency
  • Towanda, PA
  • NPI 1093928616
  NPD (past) Authorized official
• Change of Heart Counseling and Consultation Services, Inc

  dba Alishia Allegrucci, LCSW

  • Clinical Social Worker
  • Tunkhannock, PA
  • NPI 1619468097
  NPD

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1558570879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4",
            "city": "LOPEZ",
            "state": "PA",
            "postal_code": "18628",
            "telephone_number": "570-430-0521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 3RD AVE",
            "address_2": "315",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187045816",
            "telephone_number": "570-430-0521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPEC",
        "first_name": "ANN MARIE",
        "middle_name": "MONICA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "CW012145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Kathleen Kirchner
• Jacqueline Kishbaugh, BCBA
• Allison Kleinman, LSW
• Mikayla A Klym, DC
• Kimberly Anne Konnick, MS, OTR/L
• Jonathan Robert Kopka, CRNA
• Judith N Koral, LPC MAC
• Michael E. Kordek, M.D.
• John Andrew Koschak, DPM
• Alexis Kotch, MSPAS, PA-C

• Mental Health Counselor in Kingston, PA
• Providers in Kingston, PA by specialty
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.