Individual provider Active NPI

Amanda Koplin, LPC

  • Professional Counselor
  • San Antonio, TX
National Provider Identifier
1588055370
Registry record updated Feb 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
73438 Issued in TX
Practice address
1852 Lockhill Selma Rd Ste 105
San Antonio, TX 78213-1500
Phone
(210) 865-2484
NPI assigned
Feb 15, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2015

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 006003 NY
Professional Counselor 101YP2500X 73438 TX Primary

Addresses

Primary practice location

1852 Lockhill Selma Rd Ste 105
San Antonio, TX 78213-1500

Mailing address

1703 N Loop 1604 W Apt 1203
San Antonio, TX 78258-4679
Phone (210) 865-2484

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

LicenseStateTypeSpecialty
006003NYMDMental Health Counselor
73438TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Professionals of San Antonio Past Accepting new patients

Organizations & group practices 1

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": "1423958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423958400000",
    "number": "1588055370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1703 N LOOP 1604 W APT 1203",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584679",
            "telephone_number": "210-865-2484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1852 LOCKHILL SELMA RD STE 105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782131500",
            "telephone_number": "210-865-2484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPLIN",
        "first_name": "AMANDA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-15",
        "last_updated": "2015-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "006003",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "73438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2015; 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.