MRS. ALICIA KOPPY
NPI 1407191018
Marriage & Family Therapist in San Diego, CA

Q: What is Alicia Koppy's NPI number?

The NPI number for Alicia Koppy is 1407191018. It was assigned to this individual provider in the NPPES registry on December 7, 2012. The provider is also known as Ms. Alicia Blair.

Q: What is Alicia Koppy's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Alicia Koppy was last updated on July 21, 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 December 07, 2012PECOS Enrolled

4275 EL CAJON BLVD STE 101, SAN DIEGO, CA 92105(619) 283-9624 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Oct 8, 2019, Jul 25, 2017 (3 updates tracked since 2017).

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About Mrs. Alicia Koppy NPPES

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

MRS. ALICIA KOPPY (NPI 1407191018) is an individual marriage & family therapist in San Diego, California, licensed in California (94907) and active in the NPI registry since December 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407191018

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMRS. ALICIA KOPPY

Location Address4275 EL CAJON BLVD STE 101San Diego, CA 92105-1293

Mailing Address4275 El Cajon Blvd Ste 101San Diego, CA 92105-1293 · (619) 283-9624

Phone(619) 283-9624

Sole ProprietorNo

Enumeration DateDecember 7, 2012

Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration

✔ NPI 1407191018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 94907

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

4275 EL CAJON BLVD STE 101, San Diego, CA 92105

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Other Names 1

Former Name (1)Ms. Alicia Blair

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Alicia Koppy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 8

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

MANAGED CARE

Clinic/Center (Mental Health (Including Community Mental Health Center))