MR. PETER KOPCHA LCSW
NPI 1164011722
Social Worker - Clinical in Saint Louis, MO
About Mr. Peter Kopcha Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. PETER KOPCHA LCSW (NPI 1164011722) is an individual clinical provider in Saint Louis, Missouri, licensed in Missouri (2020042680) and active in the NPI registry since January 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Peter Kopcha Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Peter Kopcha reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Saint Louis, MO 63128
- Reassigned Medicare billing, Missouri enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 63128 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Peter Kopcha's NPI number?
The NPI number for Peter Kopcha is 1164011722. It was assigned to this individual provider in the NPPES registry on January 18, 2021.
Where is Peter Kopcha located?
Peter Kopcha practices at 5151 Mattis Rd Ste C, Saint Louis, MO 63128. The listed phone number is (314) 952-2947.
What is Peter Kopcha's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Peter Kopcha enrolled in Medicare?
Yes. Peter Kopcha is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Peter Kopcha's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Peter Kopcha reassigns Medicare benefits to Mattis Road Counseling, LLC (Saint Louis, MO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Peter Kopcha's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Peter Kopcha accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Ambetter of Tennessee and 3 other insurers list Peter Kopcha as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Peter Kopcha was last updated on February 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mr. Peter Kopcha, LCSW · NPI 1164011722
Clinical provider in Saint Louis, Missouri. Individual provider, active in the CMS NPPES registry since January 18, 2021.
## Identity
- **NPI:** 1164011722 (Entity type: Individual)
- **Enumerated:** January 18, 2021
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 2020042680 (Missouri)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 5151 MATTIS RD STE C, Saint Louis, MO 63128-2796
- **Phone:** (314) 952-2947
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Mattis Road Counseling, LLC (NPI 1184215501, Saint Louis, MO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** February 24, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1164011722) · Data from the CMS NPPES public registry.