Individual provider Active NPI

Christine Rummer Copeland, PHD

  • Counseling Psychologist
  • Port Townsend, WA
National Provider Identifier
1972726529
Registry record updated Dec 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
PY00001233 Issued in WA
Practice address
140 N Stromberg Ave
Port Townsend, WA 98368-2616
Phone
(360) 774-0452
Fax
(360) 344-2771
NPI assigned
Apr 11, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X PY00001233 WA Primary

Addresses

Primary practice location

140 N Stromberg Ave
Port Townsend, WA 98368-2616

Mailing address

140 N Stromberg Ave
Port Townsend, WA 98368-2616
Phone (360) 774-0452

Other names 1

  • Christine Anne Rummer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20140114001845 WA Practitioner - Clinical Psychologist 6800024068 Practice locations: Port Townsend, WA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
University of Hawaii John a. Burns School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

140 N Stromberg Ave
Port Townsend, WA 98368-2616
Phone (360) 774-0452

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY00001233WAMDCounseling Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671148800000",
    "number": "1972726529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 N STROMBERG AVE",
            "city": "PORT TOWNSEND",
            "state": "WA",
            "postal_code": "983682616",
            "telephone_number": "360-774-0452",
            "fax_number": "425-967-5572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 N STROMBERG AVE",
            "city": "PORT TOWNSEND",
            "state": "WA",
            "postal_code": "983682616",
            "telephone_number": "360-774-0452",
            "fax_number": "360-344-2771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPELAND",
        "first_name": "CHRISTINE",
        "middle_name": "RUMMER",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2022-12-16",
        "certification_date": "2022-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "WA",
            "license": "PY00001233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "RUMMER",
            "middle_name": "ANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Port Townsend, WA

Sources for this page

Verify at the official NPI Registry.