Jennifer Kopczynski, LMFT

Key facts

NPI

1497130462

Entity type

Individual (NPI type 1)

Primary specialty

Marriage & Family Therapist 106H00000X

License

MFC 49695 (CA)

Practice address

4035 E Thousand Oaks Blvd Ste 100
Westlake Village, CA 91362

Phone

(805) 402-5558

NPI assigned

Jul 20, 2015

Sex

Female

Sole proprietor

Yes

Organizations & group practices 2

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.

• Growing Minds Psychological Corporation Clinical Psychologist · Granada Hills, CA · NPI 1588068787
  Medicare reassignment NPD CA
• A.M.P. Autism Inc Clinical Psychologist · Encino, CA · NPI 1780140574
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 1, 2018.

{
    "created_epoch": "1437350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533081600000",
    "number": "1497130462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4035 E THOUSAND OAKS BLVD STE 100",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913623633",
            "telephone_number": "805-402-5558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4035 E THOUSAND OAKS BLVD STE 100",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "91362",
            "telephone_number": "805-402-5558"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2393 Townsgate Rd",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Westlake Village",
            "state": "CA",
            "postal_code": "913612509",
            "country_code": "US",
            "telephone_number": "805-402-5558",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 E Daily Dr Ste 210",
            "address_purpose": "LOCATION",
            "city": "Camarillo",
            "state": "CA",
            "postal_code": "930105839",
            "country_code": "US",
            "telephone_number": "805-402-5558",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOPCZYNSKI",
        "first_name": "JENNIFER",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-20",
        "last_updated": "2018-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 49695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Elizabeth M Kolve, MFT PSYD
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• Roslynn Koran, OTR
• Jane Koster
• Dennis B Kottler, MD
• Krasimira Krasteva, NP
• KRBR Corporation

All providers in Westlake Village, CA · Marriage & Family Therapist in California