Provider Demographics
NPI:1134136831
Name:LOADMAN-COPELAND, CAROL OLIVIA (PHD, NCC, RPT)
Entity Type:Individual
Prefix:DR
First Name:CAROL
Middle Name:OLIVIA
Last Name:LOADMAN-COPELAND
Suffix:
Gender:F
Credentials:PHD, NCC, RPT
Other - Prefix:
Other - First Name:CAROL
Other - Middle Name:OLIVIA
Other - Last Name:COPELAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:7600 E ARAPAHOE RD STE 203
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-1260
Mailing Address - Country:US
Mailing Address - Phone:303-771-0449
Mailing Address - Fax:720-708-3074
Practice Address - Street 1:7600 E ARAPAHOE RD STE 203
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112
Practice Address - Country:US
Practice Address - Phone:303-771-0449
Practice Address - Fax:720-708-3074
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-02
Last Update Date:2018-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS005532L103TC0700X
CO2658103TC2200X, 103TH0100X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
No103TH0100XBehavioral Health & Social Service ProvidersPsychologistHealth Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
42002OtherNATIONAL CERTIFIED CNSLR
R135OtherASCH CERT - CLIN HYPNOSIS
PAPO08840OtherTRICARE NO.
CO02733587Medicaid
R135OtherASCH CERT - CLIN HYPNOSIS
CO801203Medicare ID - Type UnspecifiedMEDICARE PROVIDER NO.
42002OtherNATIONAL CERTIFIED CNSLR