RICHARD R KOPELKE CADCIII NPI 1366518706

NPI Information

NPI: 1366518706
Provider Name: RICHARD R KOPELKE, CADCIII
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
2611 12TH ST S
WISCONSIN RAPIDS, WI
ZIP 54494
Phone: (715) 421-8800
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Richard R Kopelke, CADCIII is an addiction (substance use disorder) counselor in Wisconsin Rapids, WI. Richard R Kopelke, CADCIII NPI is 1366518706. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2611 12TH ST S
WISCONSIN RAPIDS, WI
ZIP 54494
Phone: (715) 421-8800
Fax: (715) 421-2266

The enumeration date for this NPI number is 11/28/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	1289	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	39332500	MEDICAID	WISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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