MRS. JESSICA ELLEN KOPPY LICSW
NPI 1417659301
Social Worker - Clinical in Seattle, WA

Q: What is Jessica Koppy's NPI number?

The NPI number for Jessica Koppy is 1417659301. It was assigned to this individual provider in the NPPES registry on March 21, 2023.

Q: What is Jessica Koppy's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Koppy was last updated on May 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 March 21, 2023PECOS Enrolled

1101 MADISON ST STE 500, SEATTLE, WA 98104(206) 320-7288(206) 215-2139 Get Directions Write a Review

NPPES record last updated: May 30, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 30, 2023, Mar 21, 2023 (2 updates tracked since 2023).

On this page

About Mrs. Jessica Ellen Koppy Licsw NPPES

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

MRS. JESSICA ELLEN KOPPY LICSW (NPI 1417659301) is an individual clinical provider in Seattle, Washington, licensed in Washington (LW60613858) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417659301

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMRS. JESSICA ELLEN KOPPYCredential: LICSW

Location Address1101 MADISON ST STE 500Seattle, WA 98104-3557

Mailing AddressPo Box 25608Salt Lake City, UT 84125-0608 · (206) 320-4476 · Fax (206) 568-7043

Phone(206) 320-7288

Fax(206) 215-2139

Sole ProprietorNo

Enumeration DateMarch 21, 2023

Last NPPES UpdateMay 30, 20232 updates tracked since enumeration

NPPES CertifiedMay 30, 2023

✔ NPI 1417659301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in WA · LW60613858

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

1101 MADISON ST STE 500, Seattle, WA 98104

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Other Identifiers 1

Medicaid2244963WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Jessica Ellen Koppy Licsw 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.

Medicare Billing Reassignment

Medicare enrollment records show Jessica Koppy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Swedish Health Services

0.4 mi

Internal Medicine

800 5TH AVE, STE 600
Seattle, WA 98104

Reassigned Medicare billing, Washington enrollment
1,270 clinicians in this Medicare group

NPI 1689612954 (206) 320-2700

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $63.67 – $189.37

Typical copayment $0.00 (range $15.91 – $47.34)

Most-billed visit code NA

Established Patient

$78.74 typical visit price

range $21.12 – $155.00

Typical copayment $19.68 (range $5.28 – $38.75)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

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

KABIR SINGH SIDHU DPM

Student in an Organized Health Care Education/Training Program