Individual provider Active NPI

Brett William Copeland, LMFT

  • Marriage & Family Therapist
  • Reno, NV
National Provider Identifier
1174760045
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2662-R Issued in NV
Practice address
6880 S McCarran Blvd
Reno, NV 89509-6175
Phone
(775) 624-8200
Fax
(775) 624-8222
NPI assigned
Jan 14, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X 2662-R NV Primary

Addresses

Primary practice location

6880 S McCarran Blvd
Reno, NV 89509-6175

Mailing address

6880 S McCarran Blvd
Reno, NV 89509-6175
Phone (775) 624-8200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241231003647 NV Practitioner - Marriage and Family Therapist 9133656226 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alta Vista Mental Health LLCGroup PAC ID 0042576274, 5 clinicians

Practice addresses (Care Compare)

6880 S McCarran Blvd
Suite 6
Reno, NV 89509-6129
Phone (775) 437-5784

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2662-RNVMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Alta Vista Mental Health LLC Multi-Specialty CurrentSince Dec 11, 2024 Accepting new patients

Locations

6880 S McCarran Blvd
Ste 6
Reno, NV 89509
Phone (775) 437-5784

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1231891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1174760045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6880 S MCCARRAN BLVD",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895096175",
            "telephone_number": "775-624-8200",
            "fax_number": "775-624-8222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6880 S MCCARRAN BLVD",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895096175",
            "telephone_number": "775-624-8200",
            "fax_number": "775-624-8222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPELAND",
        "first_name": "BRETT",
        "middle_name": "WILLIAM",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-14",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "2662-R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.