Jake Coopersmith, LPC - Counselor in Bristol, CT

Jake Coopersmith, LPC is a Counselor - Mental Health based in Bristol, Connecticut. Jake Coopersmith is licensed to practice in * (Not Available) (license number ) and his current practice location is 50 Sturbridge Ct, Bristol, Connecticut. He can be reached at his office (for appointments etc.) via phone at (860) 368-8665.

NPI number for Jake Coopersmith is 1922681972 and his current mailing address is 50 Sturbridge Ct, Bristol, Connecticut. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1922681972.

Contact Information

Jake Coopersmith, LPC
50 Sturbridge Ct,
Bristol, CT 06010-9037
(860) 368-8665
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameJake Coopersmith
GenderMale
SpecialityCounselor - Mental Health
Location50 Sturbridge Ct, Bristol, Connecticut
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1922681972
  • Provider Enumeration Date: 04/28/2021
  • Last Update Date: 04/28/2021

Medical Identifiers

Medical identifiers for Jake Coopersmith such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922681972NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YP2500XCounselor - Professional (* (Not Available))Secondary
101YM0800XCounselor - Mental Health (* (Not Available))Primary

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. Jake Coopersmith is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jake Coopersmith, LPC
50 Sturbridge Ct,
Bristol, CT 06010-9037

Ph: (860) 368-8665
Jake Coopersmith, LPC
50 Sturbridge Ct,
Bristol, CT 06010-9037

Ph: (860) 368-8665

Reviews and Comments


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