Active NPI
Darren J. Freeman-Coppadge, PHD, PHARMD, BCPP
- Counseling Psychologist
- Annapolis, MD
National Provider Identifier
1730729047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 06215
- Practice address
- 1125 West St
Suite 607
Annapolis, MD 21401-4198 - Phone
- (443) 832-6750
- NPI assigned
- Jan 14, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 06215 | MD | Primary |
| Psychiatric Pharmacist | 1835P1300X | 17726 | MD |
Addresses
Primary practice location
1125 West St
Suite 607
Annapolis, MD 21401-4198
Mailing address
1125 West St
Suite 607
Annapolis, MD 21401-4198
Phone (240) 994-6346
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jun 16, 2020 through Jun 16, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy, Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06215 | MD | MD | Counseling Psychologist |
| 17726 | MD | MD | Psychiatric Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Congruence Counseling & Psychology, LLC | Current | Accepting new patients |
Locations
1125 West St
Ste 607
Annapolis, MD 21401
Phone (443) 832-6750
Interoperability endpoints
- waypointwellnesscenter.darrenfreemancoppadge@150898.advancedmd-direct.com
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Annapolis, MD
- NPI 1912581505
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620691200000",
"number": "1730729047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1125 WEST ST",
"address_2": "SUITE 607",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214014198",
"telephone_number": "240-994-6346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1125 WEST ST",
"address_2": "SUITE 607",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214014198",
"telephone_number": "443-832-6750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREEMAN-COPPADGE",
"first_name": "DARREN",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "PHD, PHARMD, BCPP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-01-14",
"last_updated": "2021-05-11",
"certification_date": "2021-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MD",
"license": "06215",
"primary": true
},
{
"code": "1835P1300X",
"taxonomy_group": "",
"desc": "Pharmacist, Psychiatric",
"state": "MD",
"license": "17726",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Annapolis, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.