Individual provider Active NPI

Brandy George-Copeland

  • Marriage & Family Therapist
  • Madison, WI
National Provider Identifier
1689230211
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1369-124 Issued in WI
Practice address
702 N Blackhawk Ave Ste 104
Madison, WI 53705-3357
Phone
(608) 286-2393
Fax
(608) 231-2334
NPI assigned
May 20, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2024

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 1369-124 WI Primary

Addresses

Primary practice location

702 N Blackhawk Ave Ste 104
Madison, WI 53705-3357

Mailing address

702 N Blackhawk Ave Ste 104
Madison, WI 53705-3357
Phone (608) 286-2393

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
1369-124WIMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Interconnections Family Therapy Marriage & Family Therapist Current Accepting new patients
The Rainbow Project, Inc. Past Accepting new patients
Anesis Foundation for Mental Health Inc. PastSince Feb 24, 2026 Accepting new patients
Anesis Center for Marriage and Family Therapy Marriage & Family Therapist PastSince Mar 1, 2020 Accepting new patients
The Rainbow Project Inc Past Accepting new patients

Locations

702 N Blackhawk Ave
Ste 104
Madison, WI 53705
Phone (608) 231-2008

Organizations & group practices 5

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": "1558310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1689230211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 N BLACKHAWK AVE STE 104",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537053357",
            "telephone_number": "608-286-2393",
            "fax_number": "608-231-2334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 N BLACKHAWK AVE STE 104",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537053357",
            "telephone_number": "608-286-2393",
            "fax_number": "608-231-2334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE-COPELAND",
        "first_name": "BRANDY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-20",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "1369-124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; 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.