Individual provider Active NPI

Roger Copeland, LPC

  • Professional Counselor
  • Waxahachie, TX
National Provider Identifier
1689948895
Registry record updated Sep 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
62822 Issued in TX
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

Updated by the provider on Sep 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240720000016 TX Practitioner - Mental Health Counselor 5799221297 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
62822TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Philip R. Taft Psy.D. PLLC Professional CurrentSince May 9, 2024 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

Verify at the official NPI Registry.