BRENT TODD COPPOCK LPC
NPI 1861257073
Counselor - Professional in Wichita, KS

Active since February 16, 2024PECOS EnrolledAccepts Medicare Assignment
7570 W 21ST ST N STE B, WICHITA, KS 67205(316) 239-1880 Get Directions Write a Review

NPPES record last updated: February 23, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Brent Todd Coppock Lpc NPPES

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

BRENT TODD COPPOCK LPC (NPI 1861257073) is an individual professional provider in Wichita, Kansas, licensed in Kansas (04611) and active in the NPI registry since February 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1861257073
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameBRENT TODD COPPOCKCredential: LPC
Location Address7570 W 21ST ST N STE BWichita, KS 67205-1734
Mailing Address7570 W 21st St N Ste BWichita, KS 67205-1734 · (316) 239-1880
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateFebruary 16, 2024
Last NPPES UpdateFebruary 23, 2024
NPPES CertifiedFebruary 23, 2024
✔ NPI 1861257073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in KS · 04611
7570 W 21ST ST N STE B, Wichita, KS 67205

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Brent Todd Coppock Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7719476050
PECOS Enrollment IDI20251028002469
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.

Medicare Billing Reassignment

Medicare enrollment records show Brent Coppock reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Marriage & Family Therapist
7570 W 21ST ST N, BUILDING1042 SUITE B
Wichita, KS 67205
  • Reassigned Medicare billing, Kansas enrollment
  • 9 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.

Social Worker
7570 W 21ST ST N STE B
WICHITA, KS 67205
Counselor (Mental Health)
7570 W 21ST ST N STE B
WICHITA, KS 67205
Marriage & Family Therapist
7570 W 21ST ST N STE B
WICHITA, KS 67205

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 Brent Coppock's NPI number?

The NPI number for Brent Coppock is 1861257073. It was assigned to this individual provider in the NPPES registry on February 16, 2024.

Where is Brent Coppock located?

Brent Coppock practices at 7570 W 21st St N Ste B, Wichita, KS 67205. The listed phone number is (316) 239-1880.

What is Brent Coppock's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Brent Coppock enrolled in Medicare?

Yes. Brent Coppock is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Brent Coppock's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brent Coppock reassigns Medicare benefits to Axiom Counseling & Therapy Services (Wichita, KS). 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 Brent Coppock's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brent Coppock accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Blue Cross and Blue Shield of Kansas, Inc. list Brent Coppock 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 Brent Coppock was last updated on February 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.