Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Timothy E. Coppock, PCC

Individual provider Professional Counselor · NPI 1972608230

Dr. Timothy E. Coppock, PCC is a Mental Health Counselor in Perrysburg, Ohio. Qualified in 2006, 20 years ago. Practices with Northshore Psychological Associates, LLC, a 14-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
20
Licensed in
OH
In the registry since
2006
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Practice location Address checks out

27475 Holiday Ln
Perrysburg, OH 43551-3350
Phone: (419) 872-0619
Fax: (419) 872-2466
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence E0007527 (OH)

Record details

NPI number1972608230
Entity typeIndividual (Type 1)
GenderMale
Credentials PCC
Sole proprietorYes
NPI enumeratedSeptember 13, 2006
Last updated in NPPESDecember 18, 2015
Mailing address5485 Louise Dr, Edinboro, PA 16412-1440

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Northshore Psychological Associates, Llc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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