MELISSA MARIE WATERFIELD-COPELAND LPC, LAC
NPI 1922536622
Counselor - Professional in San Antonio, TX

Active since May 25, 2017Opted out of Medicare · through Jun 1, 2028
16414 SAN PEDRO AVE STE 710, SAN ANTONIO, TX 78232(847) 476-1341 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2018, May 25, 2017 (2 updates tracked since 2017).

About Melissa Marie Waterfield-copeland Lpc, Lac NPPES

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

MELISSA MARIE WATERFIELD-COPELAND LPC, LAC (NPI 1922536622) is an individual professional provider in San Antonio, Texas, licensed in Texas (78407) and active in the NPI registry since May 2017. She has opted out of Medicare through June 1, 2028 and maintains a secondary practice location in San Antonio.

NPPES Registry Identity

NPI1922536622
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMELISSA MARIE WATERFIELD-COPELANDCredential: LPC, LAC
Location Address16414 SAN PEDRO AVE STE 710San Antonio, TX 78232-2247
Mailing Address6800 Park Ten Blvd Ste 200sSan Antonio, TX 78213-4293 · (210) 261-1000 · Fax (210) 261-1821
Sole ProprietorNo
Enumeration DateMay 25, 2017
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
NPI 1922536622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses Licensed in TX · 78407 Licensed in CO · 0013368
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 0000711 (CO)
16414 SAN PEDRO AVE STE 710, San Antonio, TX 78232

Other Names 1

Former Name (1)Melissa Marie Purta Lpc, Lac

Secondary Practice Location 1

Location 116414 San Pedro Ave Ste 710San Antonio, TX 78232-2247 · Phone (847) 476-1341

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Melissa Marie Waterfield-copeland Lpc, Lac has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 1, 2024 through June 1, 2028.

Opt-Out Effective DateJune 1, 2024
Opt-Out In Effect ThroughJune 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 4

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

Counselor (Professional)
16414 SAN PEDRO AVE STE 710
SAN ANTONIO, TX 78232
Counselor (Professional)
16414 SAN PEDRO AVE STE 710
SAN ANTONIO, TX 78232
Counselor
16414 SAN PEDRO AVE STE 710
SAN ANTONIO, TX 78232
Counselor (Professional)
16414 SAN PEDRO AVE STE 710
SAN ANTONIO, TX 78232

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 Melissa Waterfield-copeland's NPI number?

The NPI number for Melissa Waterfield-copeland is 1922536622. It was assigned to this individual provider in the NPPES registry on May 25, 2017. The provider is also known as Melissa Marie Purta Lpc, Lac.

Where is Melissa Waterfield-copeland located?

Melissa Waterfield-copeland practices at 16414 San Pedro Ave Ste 710, San Antonio, TX 78232. The listed phone number is (847) 476-1341.

What is Melissa Waterfield-copeland's specialty?

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

Is Melissa Waterfield-copeland enrolled in Medicare?

No. Melissa Waterfield-copeland has opted out of Medicare through June 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Melissa Waterfield-copeland was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.