Individual provider Active NPI

Elizabeth Diane Cooplund, MA, ASSOCIATE MFT

  • Marriage & Family Therapist
  • Eureka, CA
National Provider Identifier
1730801556
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
AMFT134408 Issued in CA
Practice address
624 Harris St
Eureka, CA 95503-4448
Phone
(707) 441-2051
Fax
(707) 445-6124
NPI assigned
Sep 19, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2025

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 AMFT134408 CA Primary

Addresses

Primary practice location

624 Harris St
Eureka, CA 95503-4448

Mailing address

624 Harris St
Eureka, CA 95503-4448
Phone (707) 496-8644

Other names 1

  • Elizabeth Diane Swindell-Hedlund Former name

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)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
AMFT134408CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756339200000",
    "number": "1730801556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 HARRIS ST",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955034448",
            "telephone_number": "707-496-8644",
            "fax_number": "707-445-6124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 HARRIS ST",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955034448",
            "telephone_number": "707-441-2051",
            "fax_number": "707-445-6124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPLUND",
        "first_name": "ELIZABETH",
        "middle_name": "DIANE",
        "credential": "MA, ASSOCIATE MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-19",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "AMFT134408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "SWINDELL-HEDLUND",
            "middle_name": "DIANE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Eureka, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2025; 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.