Individual provider Active NPI

Lissa Dawn Hoprich, MA, BCBA

  • Behavior Analyst
  • Salem, VA
National Provider Identifier
1629329206
Registry record updated Sep 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-11-9221 Issued in VA
Practice address
1301 Kings Crest Dr
Salem, VA 24153-5114
Phone
(540) 588-9582
Fax
(540) 380-8155
NPI assigned
Sep 24, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2012

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 1-11-9221 VA Primary

Addresses

Primary practice location

1301 Kings Crest Dr
Salem, VA 24153-5114

Mailing address

1301 Kings Crest Dr
Salem, VA 24153-5114
Phone (540) 588-9582

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

Practice roles

OrganizationSpecialtyStatusNew patients
Abc's of Applied Behavior Analysis 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": "1348444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348444800000",
    "number": "1629329206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 KINGS CREST DR",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241535114",
            "telephone_number": "540-588-9582",
            "fax_number": "540-380-8155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 KINGS CREST DR",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241535114",
            "telephone_number": "540-588-9582",
            "fax_number": "540-380-8155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOPRICH",
        "first_name": "LISSA",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "MA, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-24",
        "last_updated": "2012-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "1-11-9221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2012; 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.