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MIKALA MARIE COPPOLELLA MA, LPC
NPI 1720759350
Counselor - Professional in Fairfield, CT

Active since September 23, 2021PECOS EnrolledAccepts Medicare Assignment
55 WALLS DR STE 206, FAIRFIELD, CT 06824(203) 689-8989 Get Directions Write a Review

NPPES record last updated: July 12, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 12, 2024, Sep 23, 2021 (2 updates tracked since 2021).

About Mikala Marie Coppolella Ma, Lpc NPPES

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

MIKALA MARIE COPPOLELLA MA, LPC (NPI 1720759350) is an individual professional provider in Fairfield, Connecticut, licensed in Connecticut (5741) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1720759350
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMIKALA MARIE COPPOLELLACredential: MA, LPC
Location Address55 WALLS DR STE 206Fairfield, CT 06824-5180
Mailing Address35 Edward StWest Haven, CT 06516-4104
Phone(203) 689-8989
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 23, 2021
Last NPPES UpdateJuly 12, 20242 updates tracked since enumeration
NPPES CertifiedJuly 12, 2024
✔ NPI 1720759350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in CT · 5741
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 5187 (CT)
55 WALLS DR STE 206, Fairfield, CT 06824
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

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

Mikala Marie Coppolella Ma, Lpc 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 ID6507302486
PECOS Enrollment IDI20240726003944
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 7

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

MEREDITH A HETTLER LMFT
Marriage & Family Therapist
55 WALLS DR STE 206
FAIRFIELD, CT 06824
Greater Bridgeport Planning Region (732) 610-8584
RACHEL WISKIND LCSW
Social Worker (Clinical)
55 WALLS DR STE 206
FAIRFIELD, CT 06824
Greater Bridgeport Planning Region (203) 689-8989
KRISTIN MARIE NISTICO MA, LPC
Counselor (Professional)
55 WALLS DR STE 206
FAIRFIELD, CT 06824
Greater Bridgeport Planning Region (203) 689-8989
KRISTINA L MONTINI MA, LMFT
Marriage & Family Therapist
55 WALLS DR STE 206
FAIRFIELD, CT 06824
Greater Bridgeport Planning Region (203) 689-8989
MS. LAURA MARIE PISANO MMFT, LMFT
Marriage & Family Therapist
55 WALLS DR STE 206
FAIRFIELD, CT 06824
Greater Bridgeport Planning Region (203) 689-8989
MS. LISA MARGARET HARTLEY MSW, LCSW
Social Worker (Clinical)
55 WALLS DR STE 206
FAIRFIELD, CT 06824
Greater Bridgeport Planning Region (203) 689-8989
VERONICA A DOTSON MS, LMFT
Marriage & Family Therapist
55 WALLS DR STE 206
FAIRFIELD, CT 06824
Greater Bridgeport Planning Region (203) 689-8989

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 Mikala Coppolella's NPI number?

The NPI number for Mikala Coppolella is 1720759350. It was assigned to this individual provider in the NPPES registry on September 23, 2021.

Where is Mikala Coppolella located?

Mikala Coppolella practices at 55 Walls Dr Ste 206, Fairfield, CT 06824. The listed phone number is (203) 689-8989.

What is Mikala Coppolella's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Mikala Coppolella enrolled in Medicare?

Yes. Mikala Coppolella 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.

What insurance does Mikala Coppolella accept?

Health plans from Providence Health Plan list Mikala Coppolella 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 Mikala Coppolella was last updated on July 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.