Individual provider Active NPI

Demetra Denise Copeland

  • Mental Health Counselor
  • Salisbury, MD
National Provider Identifier
1104147883
Registry record updated Apr 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LC3132 Issued in MD
Practice address
200 E Vine St
Salisbury, MD 21804-5531
Phone
(410) 543-7181
NPI assigned
Jun 17, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LC3132 MD Primary

Addresses

Primary practice location

200 E Vine St
Salisbury, MD 21804-5531

Mailing address

200 E Vine St
Salisbury, MD 21804-5531
Phone (410) 543-7181

Other practice location 1

6040 Public Landing Rd
Snow Hill, MD 21863-2453
Phone (410) 632-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LC3132MDMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1276732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649894400000",
    "number": "1104147883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E VINE ST",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218045531",
            "telephone_number": "410-543-7181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E VINE ST",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218045531",
            "telephone_number": "410-543-7181"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6040 Public Landing Rd",
            "address_purpose": "LOCATION",
            "city": "Snow Hill",
            "state": "MD",
            "postal_code": "218632453",
            "country_code": "US",
            "telephone_number": "410-632-1100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COPELAND",
        "first_name": "DEMETRA",
        "middle_name": "DENISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-17",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC3132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2022; 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.