Active NPIIndividual providerSole proprietor

Ms. Marisa Kopa, LMSW

Counselor, Mental Health in Middletown, New York

NPI Number1376142653
Practice location
15 Fortune RD W, Middletown, NY 10941-1625
Fax
845-343-3341
Last updated
January 24, 2022

Marisa Kopa is a Counselor, Mental Health based in Middletown, NY. Marisa Kopa practices in Middletown, NY and has the professional credentials of LMSW. The NPI Number for Marisa Kopa is 1376142653 and holds a License No. 110334-01 (NY). The current practice location address for Marisa Kopa is 15 Fortune RD W, Middletown, NY 10941-1625 and can be reached out via phone at 845-343-5556 and via fax at 845-343-3341.

Provider Profile Details

NPI Number
1376142653
Provider Name
Marisa Kopa
Credential
LMSW
Provider Entity Type
Individual
Gender
Female
Address
15 Fortune RD W, Middletown, NY 10941-1625
Phone Number
845-343-5556
Fax Number
845-343-3341
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
Yes
Provider Enumeration Date
October 19, 2020
Last Update Date
January 24, 2022
Certification Date
June 17, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
15 Fortune RD W
Middletown, NY 10941-1625
Zip
10941-1625
Phone Number
845-343-5556
Fax Number
845-343-3341
Middletown, NY 10941Get directions →

Provider Business Mailing Address Details

Address
15 Fortune RD W
Middletown, NY 10941-1625
City
Middletown
State
NY
Zip
10941-1625
Phone Number
845-343-5556
Fax Number
845-343-3341

License Information

License Number
110334-01
License State
NY
Taxonomy
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Counselor, Mental Health providers near Middletown, NY

View all Counselor, Mental Health providers in Middletown →

Frequently Asked Questions

What is the NPI number of Ms. Marisa Kopa, LMSW?

The NPI number of Ms. Marisa Kopa, LMSW is 1376142653. It was assigned on October 19, 2020 and is currently active in the NPPES registry.

What is the specialty of Ms. Marisa Kopa, LMSW?

Ms. Marisa Kopa, LMSW is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in NY under license number 110334-01.

Where does Ms. Marisa Kopa, LMSW practice?

The practice location is 15 Fortune RD W, Middletown, NY 10941-1625. The office can be reached at 845-343-5556 (phone) or 845-343-3341 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1376142653 directly on the NPPES registry website.

Browse related providers