Healthcare Provider Details

I. General information

NPI: 1215087184
Provider Name (Legal Business Name): JENNIFER K HOPKINS LMHC, LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/11/2007
Last Update Date: 04/15/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

655 W HIGHWAY 50 SUITE 104
CLERMONT FL
34711-2982
US

IV. Provider business mailing address

8716 STONEHOUSE DR
ELLICOTT CITY MD
21043-1931
US

V. Phone/Fax

Practice location:
  • Phone: 352-394-5922
  • Fax: 352-360-6582
Mailing address:
  • Phone: 321-246-0421
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberMH 8981
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLC 3928
License Number StateMD
# 3
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH 8981
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: