Kristie Jo Coppedge, LMHC, LICSW in Lynnwood, WA

Kristie Jo Coppedge, LMHC, LICSW is a medicare enrolled "Counselor - Mental Health" provider in Lynnwood, Washington. Her current practice location is 20102 Cedar Valley Rd, Suite 104, Lynnwood, Washington. You can reach out to her office (for appointments etc.) via phone at (425) 670-2102.

Kristie Jo Coppedge is licensed to practice in Washington (license number LH00006307) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1093850224.

Contact Information

	Kristie Jo Coppedge, LMHC, LICSW
	20102 Cedar Valley Rd, Suite 104, Lynnwood, WA 98036-6333
	(425) 670-2102
	(425) 670-8081

Map and Direction

Healthcare Provider's Profile

Full Name	Kristie Jo Coppedge
Gender	Female
Speciality	Counselor - Mental Health
Location	20102 Cedar Valley Rd, Lynnwood, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093850224
Provider Enumeration Date: 02/21/2007
Last Update Date: 08/28/2007

Medicare PECOS Information:

PECOS PAC ID: 2769655943
Enrollment ID: I20111103000438

Medical Identifiers

Medical identifiers for Kristie Jo Coppedge such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093850224	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	LH00006307 (Washington)	Primary
1041C0700X	Social Worker - Clinical	LW00007408 (Washington)	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kristie Jo Coppedge allows following entities to bill medicare on her behalf.

Entity Name	Jamestown S'klallam Tribe
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134181555 PECOS PAC ID: 2365349495 Enrollment ID: O20050507000057

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kristie Jo Coppedge is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kristie Jo Coppedge, LMHC, LICSW 20102 Cedar Valley Rd, Suite 104, Lynnwood, WA 98036-6333 Ph: (425) 670-2102	Kristie Jo Coppedge, LMHC, LICSW 20102 Cedar Valley Rd, Suite 104, Lynnwood, WA 98036-6333 Ph: (425) 670-2102

Reviews and Comments

Counselor in Lynnwood, WA

Christine Smith, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4807 196th St Sw, Suite 220, Lynnwood, WA 98036 Phone: 425-835-5871 Fax: 425-835-5855
Richard Johnson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3810 196th St Sw Ste 11, Lynnwood, WA 98036 Phone: 425-288-4900 Fax: 425-248-4703
Mrs. Kirstie Lynn Davis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4807 196th St Sw, Lynnwood, WA 98036 Phone: 425-835-5850
Leslie Catherine Olivia Bourgoin, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4807 196th St Sw Ste 220, Lynnwood, WA 98036 Phone: 425-835-5850 Fax: 425-835-5855
Miss Danielle Florence Honanie, CO60690975 Counselor Medicare: Not Enrolled in Medicare Practice Location: 3910 188th St Sw, Lynnwood, WA 98037 Phone: 425-329-9484
Han Soo Kim, MA Counselor Medicare: Medicare Enrolled Practice Location: 4629 168th St Sw Ste E, Lynnwood, WA 98037 Phone: 425-776-1290
Mr. Camilo Espinosa Ballen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4111 Alderwood Blvd, Lynnwood, WA 98036 Phone: 425-977-2560

Kristie Jo Coppedge, LMHC, LICSW - Medicare Counselor in Lynnwood, WA