JACQUELYNE ECHO BOPP LMHC
NPI 1174884506
Counselor - Mental Health in Clifton Park, NY
About Jacquelyne Echo Bopp Lmhc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACQUELYNE ECHO BOPP LMHC (NPI 1174884506) is an individual mental health provider in Clifton Park, New York and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jacquelyne Echo Bopp Lmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jacquelyne Bopp reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Guilderland, NY 12084
- Reassigned Medicare billing, New York enrollment
- 21 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jacquelyne Bopp's NPI number?
The NPI number for Jacquelyne Bopp is 1174884506. It was assigned to this individual provider in the NPPES registry on June 1, 2012. The provider is also known as Jacquelyne Echo Ginnan.
Where is Jacquelyne Bopp located?
Jacquelyne Bopp practices at 634 Plank Rd Ste 206, Clifton Park, NY 12065. The listed phone number is (518) 456-5056.
What is Jacquelyne Bopp's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Jacquelyne Bopp enrolled in Medicare?
Yes. Jacquelyne Bopp is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jacquelyne Bopp's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacquelyne Bopp reassigns Medicare benefits to Karner Psychological Associates PC (Guilderland, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacquelyne Bopp's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jacquelyne Bopp was last updated on May 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.
# Jacquelyne Echo Bopp, LMHC · NPI 1174884506
Mental Health provider in Clifton Park, New York. Individual provider, active in the CMS NPPES registry since June 1, 2012.
## Identity
- **NPI:** 1174884506 (Entity type: Individual)
- **Enumerated:** June 1, 2012
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** No
## Practice location
- **Address:** 634 PLANK RD STE 206, Clifton Park, NY 12065-4881
- **Phone:** (518) 456-5056
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Karner Psychological Associates PC (NPI 1619913258, Guilderland, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** May 6, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1174884506) · Data from the CMS NPPES public registry.