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NPI Code Detail

MEDICARE: KIMBERLY ANN KOPENHAVER LMFT

MEDICARE: KIMBERLY ANN KOPENHAVER LMFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family TherapistMFC46739CA
2106H00000XMarriage & Family Therapist2327-124WI
3106H00000XMarriage & Family Therapist202674TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
195-2633765OTHERCAMEDI-CAL

General Provider Information

NPI Number : 1699096511
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY ANN KOPENHAVER LMFT
Provider Business Mailing Address
First Line : 2701 W 15TH ST STE D
Second Line :
City : PLANO
State : TX
Zip : 75075-7543
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6800 WEISKOPF AVE STE 150
Second Line :
City : MCKINNEY
State : TX
Zip : 75070-5340
Country : US
Telephone Number : 626-553-9092
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2010
Last Update Date : 04/24/2026

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Directions to “ KIMBERLY ANN KOPENHAVER LMFT” Practice Location

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