Individual provider Active NPI

Jake Coopersmith, LPC

  • Mental Health Counselor
  • Simsbury, CT
National Provider Identifier
1922681972
Registry record updated Mar 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
720 Hopmeadow St Ste 3
Simsbury, CT 06070-2224
Phone
(203) 525-9024
NPI assigned
Apr 28, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

720 Hopmeadow St Ste 3
Simsbury, CT 06070-2224

Mailing address

720 Hopmeadow St Ste 3
Simsbury, CT 06070-2224
Phone (203) 525-9024

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20241011003357 CT Practitioner - Mental Health Counselor 3274065537 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Coopersmith Counseling Center LLC Single Specialty CurrentSince Jul 1, 2024 Accepting new patients
The Center for Emotional Healing, LLC PastSince May 1, 2021 Accepting new patients

Locations

720 Hopmeadow St
Simsbury, CT 06070
Phone (860) 651-3519

720 Hopmeadow St
Ste 203
Simsbury, CT 06070
Phone (203) 525-9024

Organizations & group practices 2

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": "1619568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741996800000",
    "number": "1922681972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 HOPMEADOW ST STE 3",
            "city": "SIMSBURY",
            "state": "CT",
            "postal_code": "060702224",
            "telephone_number": "203-525-9024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 HOPMEADOW ST STE 3",
            "city": "SIMSBURY",
            "state": "CT",
            "postal_code": "060702224",
            "telephone_number": "203-525-9024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPERSMITH",
        "first_name": "JAKE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-28",
        "last_updated": "2025-03-15",
        "certification_date": "2025-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simsbury, CT

Sources for this page

Verify at the official NPI Registry.