Active NPI
Raven Tiffany Copper
- Professional Counselor
- Waterbury, CT
National Provider Identifier
1841044591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 7227
- Practice address
- 73 Bunker Hill Ave
Waterbury, CT 06708-2221 - Phone
- (203) 706-2260
- NPI assigned
- Apr 17, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 7227 | CT | Primary |
Addresses
Primary practice location
73 Bunker Hill Ave
Waterbury, CT 06708-2221
Mailing address
73 Bunker Hill Ave
Waterbury, CT 06708-2221
Phone (203) 706-2260
Other names 1
- Raven Tiffany Saddler
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 |
|---|---|---|---|
| 7227 | CT | MD | Oral and Maxillofacial Surgery (Dentist) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713312000000",
"number": "1841044591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "73 BUNKER HILL AVE",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067082221",
"telephone_number": "203-706-2260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "73 BUNKER HILL AVE",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067082221",
"telephone_number": "203-706-2260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COPPER",
"first_name": "RAVEN",
"middle_name": "TIFFANY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-04-17",
"last_updated": "2024-04-17",
"certification_date": "2024-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CT",
"license": "7227",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RAVEN",
"last_name": "SADDLER",
"middle_name": "TIFFANY",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Waterbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.