Individual provider Active NPI

Jennifer Kopczynski, LMFT

  • Marriage & Family Therapist
  • Westlake Village, CA
National Provider Identifier
1497130462
Registry record updated Aug 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC 49695 Issued in CA
Practice address
4035 E Thousand Oaks Blvd Ste 100
Westlake Village, CA 91362
Phone
(805) 402-5558
NPI assigned
Jul 20, 2015
Last updated
Aug 1, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC 49695 CA Primary

Addresses

Primary practice location

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

Mailing address

4035 E Thousand Oaks Blvd Ste 100
Westlake Village, CA 91362-3633
Phone (805) 402-5558

Other practice location 1

2393 Townsgate Rd
Suite 200
Westlake Village, CA 91361-2509
Phone (805) 402-5558

Other practice location 2

601 E Daily Dr Ste 210
Camarillo, CA 93010-5839
Phone (805) 402-5558

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20240418003619 CA Practitioner - Marriage and Family Therapist 6103265459 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MFC 49695CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Growing Minds Psychological Corporation CurrentSince Apr 3, 2024 Accepting new patients
A.M.P. Autism Inc Past Accepting new patients

Locations

601 E Daily Dr
Ste 210
Camarillo, CA 93010
Phone (323) 459-4968

771 E Daily Dr
Ste 310
Camarillo, CA 93010
Phone (323) 459-4968

16800 Devonshire St
Ste 212
Granada Hills, CA 91344
Phone (323) 459-4968

16800 Devonshire St
Ste 301
Granada Hills, CA 91344
Phone (323) 459-4968

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, 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": "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": []
}

Other providers in Westlake Village, CA

Sources for this page

Verify at the official NPI Registry.