Individual provider Active NPI

Jennifer Elizabeth Copeland, PSYD, LP

  • Clinical Psychologist
  • Columbia, MO
National Provider Identifier
1205104379
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2012033727 Issued in MO
Practice address
3401 Berrywood Dr
Columbia, MO 65201-8372
Phone
(573) 777-8330
NPI assigned
Dec 5, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2012033727 MO Primary

Addresses

Primary practice location

3401 Berrywood Dr
Columbia, MO 65201-8372

Mailing address

2885 W Battlefield St
Springfield, MO 65807-3952
Phone (417) 761-5214

Other identifiers 2

IdentifierTypeStateIssuer
1205104379MedicaidMO
201087620AMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20140319000399 MO Practitioner - Clinical Psychologist 3476784331 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Burrell IncGroup PAC ID 4486548625, 217 clinicians

Practice addresses (Care Compare)

105 E Ash St
Burrell Behavioral Health
Columbia, MO 65203-4094
Phone (573) 777-7530

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ozark Center CurrentSince May 18, 2015 Accepting new patients
Burrell, Inc. CurrentSince Jul 14, 2025 Accepting new patients
Burrell, Inc. CurrentSince Jul 14, 2025 Accepting new patients
Ozark Center CurrentSince May 18, 2015 Accepting new patients

Locations

1632 Missouri Ave
Carthage, MO 64836
Phone (417) 358-1500

3401 Berrywood Dr
Columbia, MO 65201
Phone (573) 777-7530

105 E Ash St
Columbia, MO 65203
Phone (573) 777-7530

3901 E 32nd St
Joplin, MO 64804
Phone (417) 347-7567

2885 W Battlefield St
Springfield, MO 65807
Phone (417) 761-5214

1300 E Bradford Pkwy
#H
Springfield, MO 65804

Organizations & group practices 4

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": "1323043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1205104379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2885 W BATTLEFIELD ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658073952",
            "telephone_number": "417-761-5214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 BERRYWOOD DR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652018372",
            "telephone_number": "573-777-8330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPELAND",
        "first_name": "JENNIFER",
        "middle_name": "ELIZABETH",
        "credential": "PSYD, LP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-05",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "2012033727",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1205104379",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201087620A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

Verify at the official NPI Registry.