Provider Demographics
NPI:1508252610
Name:COPE, JENIFER ROSE (LMFT)
Entity Type:Individual
Prefix:
First Name:JENIFER
Middle Name:ROSE
Last Name:COPE
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9203 N PRAIRIE DUNES WAY
Mailing Address - Street 2:
Mailing Address - City:EAGLE MTN
Mailing Address - State:UT
Mailing Address - Zip Code:84005-6091
Mailing Address - Country:US
Mailing Address - Phone:720-341-1310
Mailing Address - Fax:
Practice Address - Street 1:1850 W ASHTON BLVD
Practice Address - Street 2:500 - KILN
Practice Address - City:LEHI
Practice Address - State:UT
Practice Address - Zip Code:84043-8404
Practice Address - Country:US
Practice Address - Phone:801-477-4061
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-15
Last Update Date:2022-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT11972481-3902106H00000X
1041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool