DR. TIMOTHY E. COPPOCK PCC
NPI 1972608230
Counselor - Professional in Perrysburg, OH

Active since September 13, 2006PECOS EnrolledAccepts Medicare Assignment
27475 HOLIDAY LN, PERRYSBURG, OH 43551(419) 872-0619(419) 872-2466 Get Directions Write a Review

NPPES record last updated: December 18, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Timothy E. Coppock Pcc NPPES

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

DR. TIMOTHY E. COPPOCK PCC (NPI 1972608230) is an individual professional provider in Perrysburg, Ohio, licensed in Ohio (E0007527) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1972608230
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameDR. TIMOTHY E. COPPOCKCredential: PCC
Location Address27475 HOLIDAY LNPerrysburg, OH 43551-3350
Mailing Address5485 Louise DrEdinboro, PA 16412-1440 · (814) 871-5793 · Fax (814) 877-1511
Fax(419) 872-2466
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateSeptember 13, 2006
Last NPPES UpdateDecember 18, 2015
NPI 1972608230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in OH · E0007527
27475 HOLIDAY LN, Perrysburg, OH 43551

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

Dr. Timothy E. Coppock Pcc 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 ID3173038791
PECOS Enrollment IDI20250714001770
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 2

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

Psychiatry & Neurology (Psychiatry)
27475 HOLIDAY LN
PERRYSBURG, OH 43551
Counselor (Mental Health)
27475 HOLIDAY LN, SUITE 2
PERRYSBURG, OH 43551

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 Timothy Coppock's NPI number?

The NPI number for Timothy Coppock is 1972608230. It was assigned to this individual provider in the NPPES registry on September 13, 2006.

Where is Timothy Coppock located?

Timothy Coppock practices at 27475 Holiday Ln, Perrysburg, OH 43551. The listed phone number is (419) 872-0619.

What is Timothy Coppock's specialty?

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

Is Timothy Coppock enrolled in Medicare?

Yes. Timothy Coppock 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.

When was this NPI record last updated?

The NPPES record for Timothy Coppock was last updated on December 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.