Individual provider Active NPI

Jill M Copeland, LCPC

  • Professional Counselor
  • Yarmouth, ME
National Provider Identifier
1912010364
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CC1852 Issued in ME
Practice address
500 Route 1
Suite 29C
Yarmouth, ME 04096-4711
Phone
(207) 749-6803
Fax
(207) 688-4561
NPI assigned
Aug 17, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 CC1852 ME Primary

Addresses

Primary practice location

500 Route 1
Suite 29C
Yarmouth, ME 04096-4711

Mailing address

500 Route 1
Suite 29C
Yarmouth, ME 04096-4711
Phone (207) 749-6803

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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
I20240118004148 ME Practitioner - Mental Health Counselor 8224480892 Practice locations: Yarmouth, ME

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

273 Main St
Yarmouth, ME 04096-6753
Phone (207) 749-6803

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912010364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 ROUTE 1",
            "address_2": "SUITE 29C",
            "city": "YARMOUTH",
            "state": "ME",
            "postal_code": "040964711",
            "telephone_number": "207-749-6803",
            "fax_number": "207-688-4561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 ROUTE 1",
            "address_2": "SUITE 29C",
            "city": "YARMOUTH",
            "state": "ME",
            "postal_code": "040964711",
            "telephone_number": "207-749-6803",
            "fax_number": "207-688-4561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPELAND",
        "first_name": "JILL",
        "middle_name": "M",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ME",
            "license": "CC1852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yarmouth, ME

Sources for this page

Verify at the official NPI Registry.