Active NPI
Brenda Copeland
- Marriage & Family Therapist
- Thomasville, GA
National Provider Identifier
1598079212
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Apr 20, 2023.
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFT001043
- Practice address
- 50 Country Lake LN
Thomasville, GA 31757-2517 - Phone
- (229) 200-6511
- NPI assigned
- Aug 5, 2010
- Sex
- Female
- Sole proprietor
- Yes
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFT001043 | GA | MD | Marriage & Family Therapist |
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFT001043 | GA | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1020 | GA |
Addresses
NPPES NPI RegistryPrimary practice location
50 Country Lake LN
Thomasville, GA 31757-2517
Mailing address
50 Country Lake LN
Thomasville, GA 31757-2517
Phone (229) 200-6511
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 27, 2012.
{
"created_epoch": "1280966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335484800000",
"number": "1598079212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 COUNTRY LAKE LN",
"city": "THOMASVILLE",
"state": "GA",
"postal_code": "317572517",
"telephone_number": "229-200-6511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 COUNTRY LAKE LN",
"city": "THOMASVILLE",
"state": "GA",
"postal_code": "317572517",
"telephone_number": "229-200-6511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COPELAND",
"first_name": "BRENDA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-05",
"last_updated": "2012-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "GA",
"license": "MFT001043",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "GA",
"license": "1020",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Thomasville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.