Jennifer Lynne Copeland-Welp, MA LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

561 Issued in CO

Practice address

3755 Briargate Blvd Ste 220
Colorado Springs, CO 80920

Phone

(719) 201-3048

Fax

(719) 633-0467

NPI assigned

Jul 28, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Mrs. Jennifer Lynne Etcheverry Former name

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

Specialty

Marriage and Family Therapist

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Jennifer Copeland-Welp, LMFT

  • Marriage & Family Therapist
  • Colorado Springs, CO
  • NPI 1487100939
  Medicare reassignment NPD Authorized official
• Exton Enterprises, Inc.

  • Clinical Social Worker
  • Colorado Springs, CO
  • NPI 1194104380
  NPD (past)

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539907200000",
    "number": "1922012426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3755 BRIARGATE BLVD STE 220",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809204194",
            "telephone_number": "719-201-3048",
            "fax_number": "719-633-0467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3755 BRIARGATE BLVD STE 220",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80920",
            "telephone_number": "719-201-3048",
            "fax_number": "719-633-0467"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19 N Tejon",
            "address_2": "Ste 303C",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "80903",
            "country_code": "US",
            "telephone_number": "719-633-0467",
            "fax_number": "719-633-0467",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19 N Tejon",
            "address_2": "Ste 303C",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "80903",
            "country_code": "US",
            "telephone_number": "719-633-0467",
            "fax_number": "719-633-0467",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COPELAND-WELP",
        "first_name": "JENNIFER",
        "middle_name": "LYNNE",
        "name_prefix": "Mrs.",
        "credential": "MA LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2018-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CO",
            "license": "561",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "ETCHEVERRY",
            "middle_name": "LYNNE",
            "prefix": "MRS.",
            "credential": "MA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sarah Cooper, LMT
• Stephanie Cooper, RP
• Terence Cooper
• Ava Christine Cooreman, RBT
• Russell Isaac Copelan, MD
• Cade Robert Copeland
• Courtney Elise Copeland, B.A.
• Abby Gina Coram, MA
• Corban Stettler, DDS PC
• Bonnie Corbett

• Marriage & Family Therapist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Marriage & Family Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.