Individual provider Active NPI

Jacquelyne Echo Bopp, LMHC

  • Mental Health Counselor
  • Clifton Park, NY
National Provider Identifier
1174884506
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
634 Plank Rd Ste 206
Clifton Park, NY 12065-4881
Phone
(518) 456-5056
NPI assigned
Jun 1, 2012
Last updated
May 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

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 Primary

Addresses

Primary practice location

634 Plank Rd Ste 206
Clifton Park, NY 12065-4881

Mailing address

2280 Western Ave
Guilderland, NY 12084-9210
Phone (518) 456-5056

Other names 1

  • Jacquelyne Echo Ginnan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20260615000329 NY Practitioner - Mental Health Counselor 0547732265 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1058 Manas Dr
Schenectady, NY 12303-4424

2280 Western Ave
Suite 1
Guilderland, NY 12084-9210

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Karner Psychological Associates PC CurrentSince Mar 1, 1999 Accepting new patients

Locations

2280 Western Ave
Guilderland, NY 12084
Phone (518) 456-5056

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1338508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1174884506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2280 WESTERN AVE",
            "city": "GUILDERLAND",
            "state": "NY",
            "postal_code": "120849210",
            "telephone_number": "518-456-5056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "634 PLANK RD STE 206",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120654881",
            "telephone_number": "518-456-5056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOPP",
        "first_name": "JACQUELYNE",
        "middle_name": "ECHO",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-01",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELYNE",
            "last_name": "GINNAN",
            "middle_name": "ECHO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Clifton Park, NY

Sources for this page

Verify at the official NPI Registry.