MS. MARISA KOPA LMSW
NPI 1376142653
Counselor - Mental Health in Middletown, NY

Q: What is Marisa Kopa's NPI number?

The NPI number for Marisa Kopa is 1376142653. It was assigned to this individual provider in the NPPES registry on October 19, 2020.

Q: What is Marisa Kopa's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Marisa Kopa was last updated on January 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since October 19, 2020PECOS EnrolledAccepts Medicare Assignment

15 FORTUNE RD W, MIDDLETOWN, NY 10941(845) 343-5556(845) 343-3341 Get Directions Write a Review

NPPES record last updated: January 24, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 24, 2022, Oct 19, 2020 (2 updates tracked since 2020).

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About Ms. Marisa Kopa Lmsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. MARISA KOPA LMSW (NPI 1376142653) is an individual mental health provider in Middletown, New York, licensed in New York (110334-01) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1376142653

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMS. MARISA KOPACredential: LMSW

Location Address15 FORTUNE RD WMiddletown, NY 10941-1625

Mailing Address15 Fortune Rd WMiddletown, NY 10941-1625 · (845) 343-5556 · Fax (845) 343-3341

Phone(845) 343-5556

Fax(845) 343-3341

Sole ProprietorYes

Medical School CMSOtherGraduated 2020

Enumeration DateOctober 19, 2020

Last NPPES UpdateJanuary 24, 20222 updates tracked since enumeration

NPPES CertifiedJune 17, 2021

✔ NPI 1376142653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in NY · 110334-01

15 FORTUNE RD W, Middletown, NY 10941

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Marisa Kopa Lmsw 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.

PECOS PAC ID8729524319

PECOS Enrollment IDI20240718003946

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTINE MARGARET MACKAY RN

Registered Nurse (Psychiatric/Mental Health)