Provider Demographics
NPI:1417624016
Name:KOPP, JESSICA (MA, NCC, LPC)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:
Last Name:KOPP
Suffix:
Gender:F
Credentials:MA, NCC, LPC
Other - Prefix:
Other - First Name:JESSICA
Other - Middle Name:
Other - Last Name:RICHARDS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, NCC, LPC
Mailing Address - Street 1:201 E 4TH ST # 56
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80537-5601
Mailing Address - Country:US
Mailing Address - Phone:970-408-9117
Mailing Address - Fax:
Practice Address - Street 1:201 E 4TH ST # 56
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80537-5601
Practice Address - Country:US
Practice Address - Phone:724-963-9640
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-23
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional