Samantha Diane Coppola, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

PC013122 Issued in PA

Practice address

1260 Old York Rd
Warminster, PA 18974-2013

Phone

(215) 293-0744

NPI assigned

Aug 13, 2018

Sex

Female

Sole proprietor

No

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

Mental Health Counselor

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

MWS Wellness CorpGroup PAC ID 5698114551, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• MWS Wellness Corp

  • Mental Health Counselor
  • Warminster, PA
  • NPI 1790559268
  Medicare reassignment Care Compare group NPD
• Airmid Wellness and Counseling Center LLC

  • Mental Health Counselor
  • Warminster, PA
  • NPI 1063842714
  Medicare reassignment NPD

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

{
    "created_epoch": "1534118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1609355387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 OLD YORK RD",
            "city": "WARMINSTER",
            "state": "PA",
            "postal_code": "189742013",
            "telephone_number": "152-932-0744",
            "fax_number": "215-293-0745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 OLD YORK RD",
            "city": "WARMINSTER",
            "state": "PA",
            "postal_code": "189742013",
            "telephone_number": "215-293-0744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPPOLA",
        "first_name": "SAMANTHA",
        "middle_name": "DIANE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-13",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC013122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Compell, PT, DPT
• Brynn Kieran Connor, PA-C
• Constant Medical Response, Inc
• Patricia Anne Cooney, CRNA
• Jeffrey P Cooper, D.D.S.
• Costco Wholesale Corporation
• Costco Wholesale Corporation
• Costco Wholesale Corporation
• Kaitlin Veronica Anne Costello, OTR/L
• Kathryne Costello

• Mental Health Counselor in Warminster, PA
• Providers in Warminster, 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 Sep 30, 2024; 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.