Jasmin Jessica Contreras Verduzco Copple, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC-8802 Issued in ID

Practice address

2609 S 10TH Ave Ste 102
Caldwell, ID 83605-6885

Phone

(208) 454-2766

Fax

(208) 454-2771

NPI assigned

Jun 6, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Kim Keys, LLC

  • Mental Health Counselor
  • Boise, ID
  • NPI 1386103224
  NPD (past)

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

{
    "created_epoch": "1654473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1629707765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 SUNSET DR",
            "city": "ONTARIO",
            "state": "OR",
            "postal_code": "979143121",
            "telephone_number": "541-889-9167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2609 S 10TH AVE STE 102",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836056885",
            "telephone_number": "208-454-2766",
            "fax_number": "208-454-2771"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2529 W Sherman Ave",
            "address_purpose": "LOCATION",
            "city": "Nampa",
            "state": "ID",
            "postal_code": "836868200",
            "country_code": "US",
            "telephone_number": "208-794-9145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VERDUZCO COPPLE",
        "first_name": "JASMIN",
        "middle_name": "JESSICA CONTRERAS",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-06",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "LPC-8802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle J Valdez, LSW
• Kristina Valero, LMSW
• Vallivue School District #139
• Jan Vanslyke, M.ED
• Vantage Point Counseling
• Shayla Verlander
• Judith Aracely Vielma
• Joselynn Villa Gamino
• Daniel Vincent, PTA
• Vision Charter School

• Professional Counselor in Caldwell, ID
• Providers in Caldwell, ID by specialty
• Professional Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.