Individual provider Active NPI

Olivia Susanne Coppes, M.S., BCBA

  • Behavior Analyst
  • Charlottesville, VA
National Provider Identifier
1609269000
Registry record updated Mar 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
0133000528 Issued in VA
Practice address
1414 Westwood Rd
Charlottesville, VA 22903-5149
Phone
(434) 923-8252
NPI assigned
Mar 9, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 0133000528 VA Primary

Addresses

Primary practice location

1414 Westwood Rd
Charlottesville, VA 22903-5149

Mailing address

320 Parsons Dr Apt 205
Charlottesville, VA 22901-3228
Phone (814) 251-3153

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 Science

State licenses

LicenseStateTypeSpecialty
0133000528VAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Institue of Autism 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": "1425859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425859200000",
    "number": "1609269000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 PARSONS DR APT 205",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229013228",
            "telephone_number": "814-251-3153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 WESTWOOD RD",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229035149",
            "telephone_number": "434-923-8252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPPES",
        "first_name": "OLIVIA",
        "middle_name": "SUSANNE",
        "credential": "M.S., BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-09",
        "last_updated": "2015-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "0133000528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.