Active NPI
Roger Copeland, LPC
- Professional Counselor
- Waxahachie, TX
National Provider Identifier
1689948895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 62822
- Practice address
- 121 Gayleh LN
Waxahachie, TX 75165-8746 - Phone
- (214) 949-9678
- NPI assigned
- Mar 6, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 62822 | TX | Primary |
Addresses
Primary practice location
121 Gayleh LN
Waxahachie, TX 75165-8746
Mailing address
121 Gayleh LN
Waxahachie, TX 75165-8746
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62822 | TX | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Philip R. Taft Psy.D. PLLC | Professional | Current | Accepting new patients |
Locations
715 W 2nd Ave
Corsicana, TX 75110
Phone (903) 872-4442
16 N Gate Dr
Waxahachie, TX 75165
Phone (903) 872-4443
Organizations & group practices 1
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": "1330992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411430400000",
"number": "1689948895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 GAYLEH LN",
"city": "WAXAHACHIE",
"state": "TX",
"postal_code": "751658746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 GAYLEH LN",
"city": "WAXAHACHIE",
"state": "TX",
"postal_code": "751658746",
"telephone_number": "214-949-9678"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COPELAND",
"first_name": "ROGER",
"name_prefix": "Dr.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-03-06",
"last_updated": "2014-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "62822",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waxahachie, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.