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1922012426 NPI number — JENNIFER LYNNE COPELAND-WELP MA LMFT

NPI Number: 1922012426
Health Care Provider/Practitioner: JENNIFER LYNNE COPELAND-WELP MA LMFT

Information about “1922012426” NPI (JENNIFER LYNNE COPELAND-WELP MA LMFT) exists in 1922012426 in HTML format HTML  |  1922012426 in plain Text format TXT  |  1922012426 in PDF (Portable Document Format) PDF  |  1922012426 in an XML format XML  formats.

NPI Number : 1922012426 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1922012426",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "COPELAND-WELP",
    "FirstName": "JENNIFER",
    "MiddleName": "LYNNE",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "MA LMFT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "ETCHEVERRY",
    "OtherFirstName": "JENNIFER",
    "OtherMiddleName": "LYNNE",
    "OtherNamePrefix": "MRS.",
    "OtherNameSuffix": null,
    "OtherCredential": "MA",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "3755 BRIARGATE BLVD STE 220",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "COLORADO SPRINGS",
    "MailingAddressStateName": "CO",
    "MailingAddressPostalCode": "80920-4194",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "719-201-3048",
    "MailingAddressFaxNumber": "719-633-0467",
    "FirstLinePracticeLocationAddress": "3755 BRIARGATE BLVD STE 220",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "COLORADO SPRINGS",
    "PracticeLocationAddressStateName": "CO",
    "PracticeLocationAddressPostalCode": "80920",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "719-201-3048",
    "PracticeLocationAddressFaxNumber": "719-633-0467",
    "EnumerationDate": "07/28/2006",
    "LastUpdateDate": "10/19/2018",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "103T00000X",
          "TaxonomyName": "Psychologist",
          "LicenseNumber": "561",
          "LicenseNumberStateCode": "CO",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "106H00000X",
          "TaxonomyName": "Marriage & Family Therapist",
          "LicenseNumber": "561",
          "LicenseNumberStateCode": "CO",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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