Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1083857445 Individual Practitioner Male Practitioner

Jack Alan Copley , DMIN, LMFT, IMFT

Counselor • Carrollton, KY

Professional Overview & Biography Verified Profile Summary

Jack Copley, DMIN, LMFT, IMFT is a registered healthcare professional specializing in Counselor in Carrollton, KY. Practice services are available at 1714 HIGHLAND AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1714 Highland Ave

Carrollton, KY 410088775

Telephone 5027329331

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Carrollton, KY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.2 Yrs
Regional Practice Density
3 Specialists

Practicing in Carrollton, KY (1732 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-04-23
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License KY 08-029

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
NPI 1255581260

Bachelor of Social Work

Barbara Catt , BA

Social Worker

NPI 1497798045

Bachelor of Arts

Virginia Gabbard

Technician, Other

NPI 1508893819
NPI 1619127636
Lacey Zane

Behavior Technician

NPI 1740430982
Madah Ellis

Technician, Other

NPI 1750327037

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Business Mailing Address April 23, 2024

Registered at 3927 EILEEN DR, CINCINNATI, OH 452092014 (Tel: 3042050695)

👤
Provider Name / Credentials Updated April 23, 2024

Recorded as JACK COPLEY, DMIN, LMFT, IMFT

NPI Profile Active April 15, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location April 15, 2009

Registered at 1714 HIGHLAND AVE, CARROLLTON, KY 410088775 (Tel: 5027329331)

📍
Updated Business Mailing Address April 15, 2009

Registered at 1714 HIGHLAND AVE, CARROLLTON, KY 410088775 (Tel: 5027329331)

👤
Provider Name / Credentials Updated April 15, 2009

Recorded as JACK COPLEY, MA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 15, 2009

Counselor (License #08-029 in KY)

🟢
Initial NPI Registration & Enumeration April 15, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1083857445
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 15, 2009
Last Update: April 23, 2024
Sole Proprietor: No

Mailing Address

3927 Eileen Dr

Cincinnati, OH 452092014

Phone: 3042050695

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.