Pamela Blair Kopczynski, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

1956 Issued in LA

Practice address

504 Shoreline Ridge Dr
Little Elm, TX 75068-1722

Phone

(318) 677-9178

NPI assigned

Oct 12, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1633996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633996800000",
    "number": "1497417851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 SHORELINE RIDGE DR",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750681722",
            "telephone_number": "318-677-9178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 SHORELINE RIDGE DR",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750681722",
            "telephone_number": "318-677-9178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPCZYNSKI",
        "first_name": "PAMELA",
        "middle_name": "BLAIR",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-12",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "86882",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "1956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Healgrowshare,com",
            "affiliation": "Y",
            "affiliationName": "Heal Grow Share PLLC",
            "address_1": "1420 Nacona Dr",
            "city": "Prosper",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750785022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Professional Counselor in Little Elm, TX
• Providers in Little Elm, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2021; 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.