Active NPI
John S. Copeland, LPC
- Professional Counselor
- Chesapeake, VA
National Provider Identifier
1083602387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701003688
- Practice address
- 809 Kent PL
Chesapeake, VA 23320-0768 - Phone
- (757) 436-0605
- Fax
- (757) 436-0023
- NPI assigned
- Oct 11, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701003688 | VA | Primary |
Addresses
Primary practice location
809 Kent PL
Chesapeake, VA 23320-0768
Mailing address
809 Kent PL
Chesapeake, VA 23320-0768
Phone (757) 436-0605
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 083061M | Other | SENTARA | |
| 247984 | Other | COMPSYCH | |
| 353857 | Other | MHN | |
| 010137144 | Medicaid | VA | |
| 175196 | Other | VA | BC/BS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Counseling Center Inc | Mental Health | Current | Accepting new patients |
| Ronald W. Atwood, M.D., P.C. | Past | Accepting new patients |
Locations
809 Kent Pl
Chesapeake, VA 23320
Phone (757) 436-0605
1417 Battlefield Blvd N
Ste 260
Chesapeake, VA 23320
Phone (757) 436-0605
Interoperability endpoints
- https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
- https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/72075
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Counselor
- Chesapeake, VA
- NPI 1639264112
-
- Family Medicine Physician
- Chesapeake, VA
- NPI 1982637575
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643414400000",
"number": "1083602387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "809 KENT PL",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233200768",
"telephone_number": "757-436-0605",
"fax_number": "757-436-0023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "809 KENT PL",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233200768",
"telephone_number": "757-436-0605",
"fax_number": "757-436-0023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COPELAND",
"first_name": "JOHN",
"middle_name": "S.",
"name_prefix": "Mr.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-11",
"last_updated": "2022-01-29",
"certification_date": "2022-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701003688",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SENTARA",
"identifier": "083061M",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMPSYCH",
"identifier": "247984",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN",
"identifier": "353857",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010137144",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "175196",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chesapeake, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.