Individual provider Active NPI

Gretchen Kyle Copp, LMFT, LPCC

  • Marriage & Family Therapist
  • Fresno, CA
National Provider Identifier
1679090666
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
118485 Issued in CA
Practice address
2001 N Van Ness Blvd
Fresno, CA 93704-6014
Phone
(559) 797-6588
NPI assigned
Aug 29, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 9542 CA
Marriage & Family Therapist 106H00000X 118485 CA Primary

Addresses

Primary practice location

2001 N Van Ness Blvd
Fresno, CA 93704-6014

Mailing address

2001 N Van Ness Blvd
Fresno, CA 93704-6014
Phone (559) 797-6588

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9542CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Fresno County Superintendent of Schools PastSince Apr 1, 2024 Accepting new patients
Fresno County Superintendent of Schools PastSince May 1, 2021 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1503964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1679090666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 N VAN NESS BLVD",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937046014",
            "telephone_number": "559-797-6588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 N VAN NESS BLVD",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937046014",
            "telephone_number": "559-797-6588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPP",
        "first_name": "GRETCHEN",
        "middle_name": "KYLE",
        "credential": "LMFT, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-29",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "9542",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "118485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.