Individual provider Active NPI

Jodi S Coppeta

  • Mental Health Counselor
  • Salem, NH
National Provider Identifier
1700550746
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2673 Issued in NH
Practice address
8 Stiles Rd Ste 103
Salem, NH 03079-2876
Phone
(603) 425-9810
NPI assigned
Aug 3, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2673 NH Primary
Mental Health Counselor 101YM0800X

Addresses

Primary practice location

8 Stiles Rd Ste 103
Salem, NH 03079-2876

Mailing address

8 Stiles Rd Ste 103
Salem, NH 03079-2876
Phone (603) 425-9810

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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

Enrollment IDStateProvider typePAC IDDetails
I20241216000660 NH Practitioner - Mental Health Counselor 4385175728 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2673NHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Coppeta Counseling LLC Mental Health CurrentSince Oct 11, 2024 Accepting new patients

Locations

8 Stiles Rd
Ste 103
Salem, NH 03079
Phone (603) 425-9810

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": "1627948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1700550746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 STILES RD STE 103",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030792876",
            "telephone_number": "603-425-9810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 STILES RD STE 103",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030792876",
            "telephone_number": "603-425-9810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPPETA",
        "first_name": "JODI",
        "middle_name": "S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-03",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NH",
            "license": "2673",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, NH

Sources for this page

Verify at the official NPI Registry.