JAAFAH RASHAD COPPEDGE

Address: 4400 S Jones Blvd Unit 1028, Las Vegas, NV 89103-3337
Phone: 7024818806

JAAFAH RASHAD COPPEDGE (NPI# 1255948519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255948519
Entity Type Individual
Full Name JAAFAH RASHAD COPPEDGE
Other Name JAY RASHAD COPPEDGE
Credential BA
Practice Address 4400 S Jones Blvd Unit 1028
Las Vegas
NV 89103-3337
Practice Telephone 7024818806
Mailing Telephone 7024818806
Enumeration Date 2020-09-30
Last Update Date 2020-09-30
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers
N 167G00000X Licensed Psychiatric Technician Nursing Service Providers
N 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
Ambulatory Health Care Facilities
N 103K00000X Behavioral Analyst Behavioral Health & Social Service Providers
N 106E00000X Assistant Behavior Analyst Behavioral Health & Social Service Providers
N 106S00000X Behavior Technician Behavioral Health & Social Service Providers
N 175T00000X Peer Specialist Other Service Providers

Office Location

Street Address 4400 S JONES BLVD UNIT 1028
City LAS VEGAS
State NV
Zip Code 89103-3337

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1033769385 Maria Yemi Centeno Technician 4674 Via Torino, Las Vegas, NV 89103 2019-09-18
1750847869 Walgreen Co Durable Medical Equipment & Medical Supplies 3821 W Flamingo Rd, Las Vegas, NV 89103 2019-02-13
1447741905 Adgold Medical Corp Durable Medical Equipment & Medical Supplies 3651 Lindell Rd Ste D536, Las Vegas, NV 89103 2018-05-21
1184138620 Kiley Ballew Social Worker 4425 South Jones, Suite D3, Las Vegas, NV 89103 2017-11-20
1396275988 Karen Walton Technician 5419 W. Tropicana Ave. A2803, Las Vegas, NV 89103 2017-06-15
1760923643 Shannon-Dorothy Austria Social Worker 4425 S. Jones, Suite D3, Las Vegas, NV 89103 2017-03-13
1306260583 Ladonna Smith Behavioral Analyst 1126 Tamerck Ave, Las Vegas, NV 89103 2014-02-10
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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1457968570 Deborah Ilakay Walker Counselor 764 E Twain Ave Apt 5b, Las Vegas, NV 89169-4125 2020-09-24
1912513359 Parisa Karen Kabiri Counselor 6767 W Tropicana Ave #100, Las Vegas, NV 89103-8910 2020-09-21
1861007932 Camry A Howard Counselor 3200 Arville St Apt 146, Las Vegas, NV 89102-7648 2020-09-14
1992319099 Kayli Wrenn Counselor 7788 Peaceful Trellis Dr, Las Vegas, NV 89179-2031 2020-09-04
1932712809 Williams Consultation Counselor 3811 W Charleston Blvd Ste 106, Las Vegas, NV 89102-1846 2020-08-28
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Competitor

Search similar providers

City LAS VEGAS
Zip Code 89103

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.