Individual provider Active NPI

Gina S Roppa, LCSW

  • Clinical Social Worker
  • O Fallon, MO
National Provider Identifier
1720698236
Registry record updated Aug 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
1 Baldridge CT
O Fallon, MO 63368-8233
Phone
(636) 515-4179
NPI assigned
Aug 9, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

1 Baldridge CT
O Fallon, MO 63368-8233

Mailing address

1 Baldridge CT
O Fallon, MO 63368-8233
Phone (636) 515-4179

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO, TX3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20210518002566 KS Practitioner - Clinical Social Worker 9234538547 Reassigns benefits to 2 organizations
I20240710004870 MO Practitioner - Clinical Social Worker 9234538547 Reassigns benefits to 1 organization
I20250804000777 TX Practitioner - Clinical Social Worker 9234538547 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
67572TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Thought Therapy, LLC Current Accepting new patients
Southwest Guidance Center Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: gina.roppa.1@30520.direct.athenahealth.com

Organizations & group practices 5

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": "1596931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596931200000",
    "number": "1720698236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BALDRIDGE CT",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633688233",
            "telephone_number": "636-515-4179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BALDRIDGE CT",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633688233",
            "telephone_number": "636-515-4179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROPPA",
        "first_name": "GINA",
        "middle_name": "S",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-09",
        "last_updated": "2020-08-09",
        "certification_date": "2020-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in O Fallon, MO

Sources for this page

Verify at the official NPI Registry.