JACK COPLEY (NPI# 1083857445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083857445 |
| Entity Type | Individual |
| Full Name | JACK COPLEY |
| Credential | MA |
| Practice Address |
1714 Highland Ave Carrollton KY 41008-8775 |
| Practice Telephone | 5027329331 |
| Mailing Telephone | 5027329331 |
| Enumeration Date | 2009-04-15 |
| Last Update Date | 2009-04-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 08-029 | KY | Behavioral Health & Social Service Providers |
| Street Address |
1714 HIGHLAND AVE |
| City | CARROLLTON |
| State | KY |
| Zip Code | 41008-8775 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497798045 | Barbara Catt | Social Worker | 1714 Highland Ave, Carrollton, KY 41008-8775 | 2006-06-13 |
| 1255581260 | Theresa Abney | Counselor | 1714 Highland Ave, Carrollton, KY 41008 | 2008-09-26 |
| 1619127636 | Mary Rouholiman | Counselor | 1714 Highland Ave, Carrollton, KY 41008 | 2008-09-26 |
| 1508893819 | Virginia Gabbard | Technician, Other | 1714 Highland Ave, Carrollton, KY 41008-8775 | 2006-06-26 |
| 1750327037 | Madah Ellis | Technician, Other | 1714 Highland Ave, Carrollton, KY 41008-8775 | 2006-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790233039 | Brett T Gibson | Chiropractor | 2519 Hwy 227 Unit D, Carrollton, KY 41008 | 2016-09-15 |
| 1326382136 | Carroll County Board of Education | Local Education Agency (LEA) | 813 Hawkins St, Carrollton, KY 41008 | 2012-11-16 |
| 1114229234 | Sy Dan Nguyen, Psc | Dentist | 2551 Us Highway 27, Carrollton, KY 41008 | 2010-11-22 |
| 1447300660 | Webster Drugs, Inc. | Pharmacist | Parklane Shopping Center, Carrollton, KY 41008 | 2007-01-11 |
| 1629139522 | Carroll County Medical Advisors Lp | General Acute Care Hospital | 309 11th Street, Carrollton, KY 41008 | 2006-12-13 |
| 1912073719 | Philip V Habas Dmd Psc | Dentist | 1209 Highland Ave, Suite L, Carrollton, KY 41008 | 2006-11-27 |
| 1447320353 | Carrollton Medical Associates | Internal Medicine | 307 Eleventh Street, Carrollton, KY 41008 | 2006-11-08 |
| 1922187475 | Carrollton Surgical Associates LLC | Surgery | 309 Eleventh Street, Carrollton, KY 41008 | 2006-11-03 |
| 1194818609 | The Bethany Circle of Kings Daughters of Madison Indiana Inc | Durable Medical Equipment & Medical Supplies | 205 Marwill Dr, Carrollton, KY 41008 | 2006-10-02 |
| 1093819427 | John Thornton Newcomb | Dentist | 1714 Highland Ave., Carrollton, KY 41008 | 2006-09-07 |
| Find all providers in zip 41008 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477152809 | Wellovation LLC | Counselor | 1220 W Trinity Mills Rd, Carrollton, TX 75006-1303 | 2020-10-16 |
| 1083234678 | Faith Johnson | Counselor | 139 Newnan Rd, Carrollton, GA 30117-3442 | 2020-04-23 |
| 1104454016 | Karmen Kay Scott | Counselor | 20396 Cr 240, Carrollton, MO 64633-8151 | 2020-03-28 |
| 1396375341 | Princy Sebastian | Counselor | 4408 Emerald Dr, Carrollton, TX 75010-4514 | 2020-01-17 |
| 1528601010 | Tessa Isom | Counselor | 245 Second St Sw, Carrollton, OH 44615-1305 | 2019-10-28 |
| 1538713425 | Latoya Banton | Counselor | 85 Tyus Carrollton Rd, Carrollton, GA 30117-8254 | 2019-07-29 |
| 1053899757 | Ana Lyllian Guadalupe Menjivar-couch | Counselor | 840 Lake Connie Rd, Carrollton, GA 30116-9783 | 2018-08-03 |
| 1669992061 | Vanessa Fajardo | Counselor | 1925 E Belt Line Rd Ste 258, Carrollton, TX 75006-5801 | 2017-06-27 |
| 1710422936 | Sharon Gayle Counseling | Counselor | 4700 N Josey Ln, 4121, Carrollton, TX 75010-4693 | 2016-12-24 |
| 1255602322 | Leston Marshall Underwood | Counselor | 2016 Hearthstone Dr, Carrollton, TX 75010-4019 | 2012-01-22 |
| Find all providers in CARROLLTON | ||||
| City | CARROLLTON |
| Zip Code | 41008 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.