Individual provider Active NPI

Autumn Renee Coppejans

  • Mental Health Counselor
  • Westminster, CO
National Provider Identifier
1770189912
Registry record updated Dec 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
8377 W 90TH PL
Westminster, CO 80021-4558
Phone
(309) 945-3448
NPI assigned
Dec 10, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 178.013020 IL
School Counselor 101YS0200X 199241 CO
Mental Health Counselor 101YM0800X CO Primary

Addresses

Primary practice location

8377 W 90TH PL
Westminster, CO 80021-4558

Mailing address

8377 W 90TH PL
Westminster, CO 80021-4558
Phone (309) 945-3448

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20240508001034 CO Practitioner - Mental Health Counselor 6709227796 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
178.013020ILMDCounselor
199241COMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Higher Sights Counseling Mental Health CurrentSince Apr 29, 2024 Accepting new patients

Locations

8805 W 14th Ave
Ste 300
Lakewood, CO 80215
Phone (720) 470-0382

5353 W Dartmouth Ave
Ste 305
Lakewood, CO 80227
Phone (720) 943-7050

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": "1607558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607558400000",
    "number": "1770189912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8377 W 90TH PL",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800214558",
            "telephone_number": "309-945-3448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8377 W 90TH PL",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800214558",
            "telephone_number": "309-945-3448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPPEJANS",
        "first_name": "AUTUMN",
        "middle_name": "RENEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-10",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "178.013020",
            "primary": false
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "CO",
            "license": "199241",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CO

Sources for this page

Verify at the official NPI Registry.