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Active NPI 1972608230 Individual Practitioner Male Practitioner

Timothy E. Coppock , PCC

Counselor - Professional • Perrysburg, OH

✓ Accepts Medicare Assignment
Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Timothy Coppock, PCC is a registered Counselor - Professional practitioner in Perrysburg, OH. With approximately 20 years of clinical practice since completing medical education in 2006, Timothy Coppock provides healthcare services at the registered practice location at 27475 HOLIDAY LN.

Timothy Coppock is affiliated with Northshore Psychological Associates, Llc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

27475 Holiday Ln

Perrysburg, OH 435513350

Telephone 4198720619
Fax 4198722466
Associated Practice Facility / Clinic
🏢 Mbhc Inc Facility NPI 1457548224

Medicare Profile & Education

Medical School

Other

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Perrysburg, OH

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
20 Yrs +4.9 yrs vs City Avg
City Avg: 15.1 Yrs
State Avg: 15.9 Yrs
Regional Practice Density
46 Specialists

Practicing in Perrysburg, OH (6923 Statewide)

Telehealth Adoption Rate
6.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Coppock (20 Years) 20 Yrs
Perrysburg Specialty Average (15.1 Years) 15.1 Yrs

Medical Specialties & State Licenses

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License OH E0007527

Definition to come...

Hospital & Practice Group Affiliations

Northshore Psychological Associates, Llc

120 E 2nd St, Erie, PA 165071578

Phone: 8148778013

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Dr. Charles Burke , MD

Psychiatry & Neurology - Psychiatry

NPI 1164408175

Doctor of Medicine (M.D.)

Dr. Thomas Meiring , PhD

Counselor - Mental Health

NPI 1417043928

Doctor of Philosophy (Ph.D.)

Jae Kennedy-Cookson , APRN-CNP, PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1528298288

Advanced Practice Registered Nurse - Certified Nurse Practitioner, Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Charles Campbell , M ED

Counselor - Mental Health

NPI 1548470271

Master of Education

Brandi Winkelman , MFT

Marriage & Family Therapist

NPI 1811436538

Marriage and Family Therapist

Arielle Patty , LPC

Counselor - Mental Health

NPI 1871035790

Licensed Professional Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 18, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location December 18, 2015

Registered at 27475 HOLIDAY LN, PERRYSBURG, OH 435513350 (Tel: 4198720619)

📍
Updated Business Mailing Address December 18, 2015

Registered at 5485 LOUISE DR, EDINBORO, PA 164121440 (Tel: 8148715793)

👤
Provider Name / Credentials Updated December 18, 2015

Recorded as TIMOTHY COPPOCK, PCC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 18, 2015

Counselor (License #E0007527 in OH)

🟢
Initial NPI Registration & Enumeration September 13, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1972608230
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 13, 2006
Last Update: December 18, 2015
Sole Proprietor: Yes

Mailing Address

5485 Louise Dr

Edinboro, PA 164121440

Phone: 8148715793

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.