MRS. JESSICA COPELAND MA IN COUNSELING
NPI 1952845869
Counselor in San Rafael, CA

Active since December 12, 2016Opted out of Medicare · through Jan 1, 2028
555 NORTHGATE DR, SAN RAFAEL, CA 94903(415) 491-5700 Get Directions Write a Review

NPPES record last updated: December 12, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Jessica Copeland Ma In Counseling NPPES

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

MRS. JESSICA COPELAND MA IN COUNSELING (NPI 1952845869) is an individual counselor in San Rafael, California and active in the NPI registry since December 2016. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1952845869
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMRS. JESSICA COPELANDCredential: MA IN COUNSELING
Location Address555 NORTHGATE DRSan Rafael, CA 94903-3680
Mailing Address123 Pepper AveLarkspur, CA 94939-2172 · (310) 625-5634
Sole ProprietorNo
Enumeration DateDecember 12, 2016
NPI 1952845869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
555 NORTHGATE DR, San Rafael, CA 94903

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Mrs. Jessica Copeland Ma In Counseling has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 20

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

Counselor (Mental Health)
555 NORTHGATE DR, FAMILY SERVICE AGENCY OF MARIN
SAN RAFAEL, CA 94903
Community/Behavioral Health
555 NORTHGATE DR, FAMILY SERVICE AGENCY OF MARIN
SAN RAFAEL, CA 94903
Counselor (Mental Health)
555 NORTHGATE DR, FAMILY SERVICE AGENCY OF MARIN
SAN RAFAEL, CA 94903
Counselor
555 NORTHGATE DR
SAN RAFAEL, CA 94903
Counselor (Mental Health)
555 NORTHGATE DR, FAMILY SERVICE AGENCY OF MARIN
SAN RAFAEL, CA 94903
Counselor (Mental Health)
555 NORTHGATE DR, FAMILY SERVICE AGENCY
SAN RAFAEL, CA 94903
Marriage & Family Therapist
555 NORTHGATE DR, FAMILY SERVICE AGENCY OF MARIN
SAN RAFAEL, CA 94903
Counselor (Mental Health)
555 NORTHGATE DR
SAN RAFAEL, CA 94903

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 Jessica Copeland's NPI number?

The NPI number for Jessica Copeland is 1952845869. It was assigned to this individual provider in the NPPES registry on December 12, 2016.

Where is Jessica Copeland located?

Jessica Copeland practices at 555 Northgate Dr, San Rafael, CA 94903. The listed phone number is (415) 491-5700.

What is Jessica Copeland's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Jessica Copeland enrolled in Medicare?

No. Jessica Copeland has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Jessica Copeland was last updated on December 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.