Individual provider Active NPI

Dana Kopas, MAED

  • Professional Counselor
  • Warren, OH
National Provider Identifier
1669958633
Registry record updated Apr 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
320 High St NE
Warren, OH 44481-1222
Phone
(330) 394-9090
Fax
(330) 394-8163
NPI assigned
Jul 12, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

320 High St NE
Warren, OH 44481-1222

Mailing address

2340 Sandpiper TRL SE
Warren, OH 44484-5702
Phone (330) 719-7692

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 1, 2024 through Feb 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Connections Counseling, LLC Marriage & Family Therapist CurrentSince Feb 8, 2023 Accepting new patients

Locations

6775 Applewood Blvd
Ste 1B
Boardman, OH 44512
Phone (330) 967-9950

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": "1531353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586476800000",
    "number": "1669958633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2340 SANDPIPER TRL SE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444845702",
            "telephone_number": "330-719-7692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 HIGH ST NE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444811222",
            "telephone_number": "330-394-9090",
            "fax_number": "330-394-8163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPAS",
        "first_name": "DANA",
        "credential": "MAED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-12",
        "last_updated": "2020-04-10",
        "certification_date": "2020-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, OH

Sources for this page

Verify at the official NPI Registry.