Individual provider Active NPI

Jeffrey H Kupfer, PHD, PSYD, BCBA-D

  • Psychologist
  • Longmont, CO
National Provider Identifier
1295744142
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2277 Issued in CO
Practice address
1630 Dry Creek Dr Ste 100-B
Longmont, CO 80503-6409
Phone
(970) 310-3406
Fax
(888) 965-4615
NPI assigned
Aug 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 7304 MA
Psychologist 103T00000X 575 NE
Behavior Analyst 103K00000X 1-00-0058 CO
Psychologist 103T00000X 2277 CO Primary
Cognitive & Behavioral Psychologist 103TB0200X 1-00-0058

Addresses

Primary practice location

1630 Dry Creek Dr Ste 100-B
Longmont, CO 80503-6409

Mailing address

1330 S Potomac St Ste 112
Aurora, CO 80012-4527
Phone (720) 845-6675

Other practice location 1

1330 S Potomac St Ste 112
Aurora, CO 80012-4527
Phone (720) 845-6675

Other identifiers 2

IdentifierTypeStateIssuer
12952320MedicaidCO
70224871MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20070301000169 CO Practitioner - Clinical Psychologist 3375544869 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heart Centered Counseling PCGroup PAC ID 8628373651, 296 clinicians

Practice addresses (Care Compare)

1630 Dry Creek Dr
Suite 100B
Longmont, CO 80503-6405
Phone (970) 310-3406

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
7304MAMDPsychologist
575NEMDRegistered Dietitian
2277COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Trumpet Behavioral Health, LLC Behavior Analyst CurrentSince Nov 1, 2020 Accepting new patients
Heart Centered Counseling, PC Current Accepting new patients
Heart Centered Counseling, PC CurrentSince Mar 1, 2024 Accepting new patients
Heart Centered Counseling, PC CurrentSince Mar 1, 2024 Accepting new patients
Jeff Kupfer PA Psychologist Past Accepting new patients

Locations

1330 S Potomac St
Ste 112
Aurora, CO 80012
Phone (720) 414-2704

215 W Oak St
Fl 4
Fort Collins, CO 80521
Phone (253) 346-1331

1770 25th Ave
Ste 206
Greeley, CO 80634
Phone (303) 664-5281

1630 Dry Creek Dr
Ste 100-B
Longmont, CO 80503
Phone (913) 244-3563

Organizations & group practices 5

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": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1295744142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 S POTOMAC ST STE 112",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124527",
            "telephone_number": "720-845-6675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 DRY CREEK DR STE 100-B",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805036409",
            "telephone_number": "970-310-3406",
            "fax_number": "888-965-4615"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1330 S Potomac St Ste 112",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800124527",
            "country_code": "US",
            "telephone_number": "720-845-6675",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUPFER",
        "first_name": "JEFFREY",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "PHD, PSYD, BCBA-D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "7304",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NE",
            "license": "575",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CO",
            "license": "1-00-0058",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CO",
            "license": "2277",
            "primary": true
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": "1-00-0058",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12952320",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "70224871",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

Verify at the official NPI Registry.