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ANDREA COPPOCK MA, LMFT
NPI 1538836671
Marriage & Family Therapist in Shakopee, MN

Active since August 26, 2021PECOS Enrolled
1725 ASTORIA DRIVE, SHAKOPEE, MN 55379(952) 687-7451 Get Directions Write a Review

NPPES record last updated: August 26, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Andrea Coppock Ma, Lmft NPPES

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

ANDREA COPPOCK MA, LMFT (NPI 1538836671) is an individual marriage & family therapist in Shakopee, Minnesota, licensed in Minnesota (4169) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1538836671
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameANDREA COPPOCKCredential: MA, LMFT
Location Address1725 ASTORIA DRIVEShakopee, MN 55379
Mailing Address1725 Astoria DriveShakopee, MN 55379 · (952) 687-7451
Phone(952) 687-7451
Sole ProprietorYes
Enumeration DateAugust 26, 2021
NPPES CertifiedAugust 26, 2021
✔ NPI 1538836671 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 MN · 4169
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.
1725 ASTORIA DRIVE, Shakopee, MN 55379
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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 (PECOS)

Andrea Coppock Ma, Lmft 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.

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 Andrea Coppock's NPI number?

The NPI number for Andrea Coppock is 1538836671. It was assigned to this individual provider in the NPPES registry on August 26, 2021.

Where is Andrea Coppock located?

Andrea Coppock practices at 1725 Astoria Drive, Shakopee, MN 55379. The listed phone number is (952) 687-7451.

What is Andrea Coppock's specialty?

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

Is Andrea Coppock enrolled in Medicare?

Yes. Andrea Coppock is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Andrea Coppock was last updated on August 26, 2021. 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.