Individual provider Active NPI

Christine Koepplin, LMSW

  • Social Worker
  • Johnston, IA
National Provider Identifier
1851659684
Registry record updated Feb 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
06698 Issued in IA
Practice address
7085 NW Beaver Dr
Johnston, IA 50131-1249
Phone
(515) 276-3473
Fax
(515) 278-4329
NPI assigned
Apr 30, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 06698 IA Primary

Addresses

Primary practice location

7085 NW Beaver Dr
Johnston, IA 50131-1249

Mailing address

PO Box 39
Johnston, IA 50131-0039
Phone (515) 276-3473

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

LicenseStateTypeSpecialty
06698IAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Youth Homes of Mid-America Past Accepting new patients
Youth Homes of Mid-America Therapy Services, LLC Social Worker Past Accepting new patients

Organizations & group practices 2

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": "1335744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487030400000",
    "number": "1851659684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 39",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501310039",
            "telephone_number": "515-276-3473",
            "fax_number": "515-278-4329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7085 NW BEAVER DR",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501311249",
            "telephone_number": "515-276-3473",
            "fax_number": "515-278-4329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOEPPLIN",
        "first_name": "CHRISTINE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-30",
        "last_updated": "2017-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "06698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnston, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; 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.