Active NPI
Amber Koppenhofer, LPCC
- Mental Health Counselor
- Columbus, OH
National Provider Identifier
1689025876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- C.1500896-TRNE
- Practice address
- 1335 Dublin Rd
Suite 216-C
Columbus, OH 43215-1000 - Phone
- (614) 395-8978
- NPI assigned
- Jun 28, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | E.2102127 | OH | |
| Mental Health Counselor | 101YM0800X | C.1500896-TRNE | OH | Primary |
Addresses
Primary practice location
1335 Dublin Rd
Suite 216-C
Columbus, OH 43215-1000
Mailing address
299 Cramer Creek CT
Dublin, OH 43017-2586
Phone (740) 919-1334
Other names 1
- Amber Shaffer
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
| License | State | Type | Specialty |
|---|---|---|---|
| C.1500896-TRNE | OH | MD | Mental Health Counselor |
| E.2102127 | OH | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diane Delk | Mental Health | 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.
-
- Mental Health Counselor
- Columbus, OH
- NPI 1861948085
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733875200000",
"number": "1689025876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "299 CRAMER CREEK CT",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430172586",
"telephone_number": "740-919-1334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1335 DUBLIN RD",
"address_2": "SUITE 216-C",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432151000",
"telephone_number": "614-395-8978"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOPPENHOFER",
"first_name": "AMBER",
"credential": "LPCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-28",
"last_updated": "2024-12-11",
"certification_date": "2024-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E.2102127",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "C.1500896-TRNE",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMBER",
"last_name": "SHAFFER",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.