JAKE COOPERSMITH LPC
NPI 1922681972
Counselor - Mental Health in Simsbury, CT
About Jake Coopersmith Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JAKE COOPERSMITH LPC (NPI 1922681972) is an individual mental health provider in Simsbury, Connecticut and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jake Coopersmith Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jake Coopersmith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Simsbury, CT 06070
- Reassigned Medicare billing, Connecticut enrollment
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
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SIMSBURY, CT 06070
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 Jake Coopersmith's NPI number?
The NPI number for Jake Coopersmith is 1922681972. It was assigned to this individual provider in the NPPES registry on April 28, 2021.
Where is Jake Coopersmith located?
Jake Coopersmith practices at 720 Hopmeadow St Ste 3, Simsbury, CT 06070. The listed phone number is (203) 525-9024.
What is Jake Coopersmith's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Jake Coopersmith enrolled in Medicare?
Yes. Jake Coopersmith is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jake Coopersmith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jake Coopersmith reassigns Medicare benefits to Coopersmith Counseling Center LLC (Simsbury, CT). 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 Jake Coopersmith'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 Jake Coopersmith was last updated on March 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Jake Coopersmith, LPC · NPI 1922681972
Mental Health provider in Simsbury, Connecticut. Individual provider, active in the CMS NPPES registry since April 28, 2021.
## Identity
- **NPI:** 1922681972 (Entity type: Individual)
- **Enumerated:** April 28, 2021
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 720 HOPMEADOW ST STE 3, Simsbury, CT 06070-2224
- **Phone:** (203) 525-9024
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Coopersmith Counseling Center LLC (NPI 1700658325, Simsbury, CT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 15, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1922681972) · Data from the CMS NPPES public registry.