Individual provider Active NPI

Brendalee R Copp, LPC

  • Professional Counselor
  • Overland Park, KS
National Provider Identifier
1356717425
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2751 Issued in KS
Practice address
9501 Moody Park Cir
Overland Park, KS 66212-5128
Phone
(816) 304-0434
Fax
(913) 246-0646
NPI assigned
Aug 12, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 2751 KS
Mental Health Counselor 101YM0800X 2751 KS
Professional Counselor 101YP2500X 2751 KS Primary

Addresses

Primary practice location

9501 Moody Park Cir
Overland Park, KS 66212-5128

Mailing address

5901 Moody Park Cir
Overland Park, KS 66212-1852
Phone (816) 304-0434

Other practice location 1

301 Hillcrest Rd
Belton, MO 64012-1852
Phone (816) 304-0434

Other identifiers 1

IdentifierTypeStateIssuer
14031661OtherCAQH

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
2751KSMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1439337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1356717425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 MOODY PARK CIR",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662121852",
            "telephone_number": "816-304-0434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9501 MOODY PARK CIR",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662125128",
            "telephone_number": "816-304-0434",
            "fax_number": "913-246-0646"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Hillcrest Rd",
            "address_purpose": "LOCATION",
            "city": "Belton",
            "state": "MO",
            "postal_code": "640121852",
            "country_code": "US",
            "telephone_number": "816-304-0434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COPP",
        "first_name": "BRENDALEE",
        "middle_name": "R",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-12",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "KS",
            "license": "2751",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KS",
            "license": "2751",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KS",
            "license": "2751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14031661",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.