NPIMap

Organization Active NPI

Teresa Koppin

  • Community/Behavioral Health Agency
  • Pueblo, CO
National Provider Identifier
1801297478
Registry record updated Sep 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
0011162 Issued in CO
Legal business name
TERESA KOPPIN
Practice address
421 N Main St Ste 301
Pueblo, CO 81003-3187
Phone
(719) 251-5222
Fax
(719) 562-0129
NPI assigned
Sep 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2014

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

Authorized official

Name
Teresa A Koppin, MA, LPCNPI 1629458393
Title
Owner
Phone
(719) 251-5222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 0011162 CO Primary

Addresses

Primary practice location

421 N Main St Ste 301
Pueblo, CO 81003-3187

Mailing address

421 N Main St Ste 301
Pueblo, CO 81003-3187
Phone (719) 251-5222

National Provider Directory

National Provider Directory

Locations

421 N Main St
Ste 301
Pueblo, CO 81003
Phone (719) 251-5222

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1410739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410739200000",
    "number": "1801297478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 N MAIN ST STE 301",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810033187",
            "telephone_number": "719-251-5222",
            "fax_number": "719-562-0129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 N MAIN ST STE 301",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810033187",
            "telephone_number": "719-251-5222",
            "fax_number": "719-562-0129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERESA KOPPIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-15",
        "last_updated": "2014-09-15",
        "status": "A",
        "authorized_official_last_name": "KOPPIN",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-251-5222",
        "authorized_official_credential": "MA, LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CO",
            "license": "0011162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2014; 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.