KRISTIE JO COPPEDGE LMHC, LICSW
NPI 1093850224
Counselor - Mental Health in Lynnwood, WA

Active since February 21, 2007PECOS Enrolled
20102 CEDAR VALLEY RD, SUITE 104, LYNNWOOD, WA 98036(425) 670-2102(425) 670-8081 Get Directions Write a Review

NPPES record last updated: August 28, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kristie Jo Coppedge Lmhc, Licsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KRISTIE JO COPPEDGE LMHC, LICSW (NPI 1093850224) is an individual mental health provider in Lynnwood, Washington, licensed in Washington (LH00006307) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093850224
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKRISTIE JO COPPEDGECredential: LMHC, LICSW
Location Address20102 CEDAR VALLEY RD, SUITE 104Lynnwood, WA 98036-6333
Mailing Address20102 Cedar Valley Rd, Suite 104Lynnwood, WA 98036-6333 · (425) 670-2102 · Fax (425) 670-8081
Fax(425) 670-8081
Sole ProprietorYes
Enumeration DateFebruary 21, 2007
Last NPPES UpdateAugust 28, 2007
NPI 1093850224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in WA · LH00006307
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License LW00007408 (WA)
20102 CEDAR VALLEY RD, Lynnwood, WA 98036

Other Names 1

Professional Name (2)Kris Coppedge Lmhc, Licsw

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kristie Jo Coppedge Lmhc, Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
20102 CEDAR VALLEY RD, SUITE 107
LYNNWOOD, WA 98036
Community/Behavioral Health
20102 CEDAR VALLEY RD, SUITE 107
LYNNWOOD, WA 98036
Counselor (Mental Health)
20102 CEDAR VALLEY RD, SUITE 107
LYNNWOOD, WA 98036
Social Worker (Clinical)
20102 CEDAR VALLEY RD, SUITE 107
LYNNWOOD, WA 98036
Counselor (Mental Health)
20102 CEDAR VALLEY RD, SUITE 100
LYNNWOOD, WA 98036
Counselor (Mental Health)
20102 CEDAR VALLEY RD, SUITE 106
LYNNWOOD, WA 98036
Marriage & Family Therapist
20102 CEDAR VALLEY RD, SUITE 102
LYNNWOOD, WA 98036
Counselor (Mental Health)
20102 CEDAR VALLEY RD, SUITE 107
LYNNWOOD, WA 98036

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kristie Coppedge's NPI number?

The NPI number for Kristie Coppedge is 1093850224. It was assigned to this individual provider in the NPPES registry on February 21, 2007. The provider is also known as Kris Coppedge Lmhc, Licsw.

Where is Kristie Coppedge located?

Kristie Coppedge practices at 20102 Cedar Valley Rd Suite 104, Lynnwood, WA 98036. The listed phone number is (425) 670-2102.

What is Kristie Coppedge's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Kristie Coppedge enrolled in Medicare?

Yes. Kristie Coppedge is registered in the Medicare PECOS enrollment system.

What insurance does Kristie Coppedge accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Kristie Coppedge as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kristie Coppedge was last updated on August 28, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.