Coppedge Psychotherapy Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

LW00007408 Issued in WA

Legal business name

COPPEDGE PSYCHOTHERAPY INC

Practice address

20102 Cedar Valley Rd
Suite 107
Lynnwood, WA 98036-6333

Phone

(425) 670-2102

Fax

(425) 670-8081

NPI assigned

Sep 7, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Miss Kristie Jo Coppedge, LICSW

Title

Owner

Phone

(425) 670-2102

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Suzanne M Hunsley, MSW

  • Clinical Social Worker
  • Lynnwood, WA
  • NPI 1043318710
  NPD (past)
• Wendy Natalie Warman, LICSW

  • Mental Health Counselor
  • Lynnwood, WA
  • NPI 1811244650
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1315353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319673600000",
    "number": "1083995740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20102 CEDAR VALLEY RD",
            "address_2": "SUITE 107",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980366333",
            "telephone_number": "425-670-2102",
            "fax_number": "425-670-8081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20102 CEDAR VALLEY RD",
            "address_2": "SUITE 107",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980366333",
            "telephone_number": "425-670-2102",
            "fax_number": "425-670-8081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COPPEDGE PSYCHOTHERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-07",
        "last_updated": "2011-10-27",
        "status": "A",
        "authorized_official_last_name": "COPPEDGE",
        "authorized_official_first_name": "KRISTIE",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-670-2102",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WA",
            "license": "LW00007408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melvin R Cook, R.PH., M.SC.
• Rachel Cook
• Katherine R Cooke
• Megan Nichol Cooper, LPM
• Kristy Lynn Coppa, L.M.P.
• Kristie Jo Coppedge, LMHC, LICSW
• Copper Creek Medical, Inc.
• Serena Ronnell Corbett, AAC, CBT
• Jason Lane Corbin
• Kegan Yu Corcoran-Sipe, LMT

• Community/Behavioral Health Agency in Lynnwood, WA
• Providers in Lynnwood, WA by specialty
• Community/Behavioral Health Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.