Anthony Coppage

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

C4018A Issued in AL

Practice address

100 Westside Dr
Dothan, AL 36303-1908

Phone

(334) 793-2237

NPI assigned

Feb 7, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Milestones Psychology and Therapy Inc

  • Professional Counselor
  • Dothan, AL
  • NPI 1730431164
  NPD
• Chrysalis, a Home for Girls, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Newton, AL
  • NPI 1891808036
  NPD (past)

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

{
    "created_epoch": "1644192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644537600000",
    "number": "1841944014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 WHITFIELD AVE",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363056883",
            "telephone_number": "334-718-6915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WESTSIDE DR",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363031908",
            "telephone_number": "334-793-2237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPPAGE",
        "first_name": "ANTHONY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-07",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "C4018A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roddy Dean Cook, MD
• Tara Cook, BCBA
• William Marvin Cook Jr., RPH.
• Jana Cooper, LMT
• Anna Maria Copeland, LPC
• Core Physical Therapy and Wellness LLC
• Cornerstone Caregiving East LLC
• Spring Cosby, PTA
• Arsene Costa
• Melanie K Cotter, PHD

• Professional Counselor in Dothan, AL
• Providers in Dothan, AL by specialty
• Professional Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; 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.