Stacie Lyn Cooper, PSY.D.
Individual provider Active NPI Mental Health Counselor · San Juan Capistrano, CA
NPI 1003044306 · NPPES record last updated Jun 24, 2009
Key facts
- NPI
- 1003044306
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 26891 Spring St
San Juan Capistrano, CA 92675-2692 - Phone
- (949) 361-7892
- NPI assigned
- Jun 24, 2009
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
26891 Spring St
San Juan Capistrano, CA 92675-2692
Mailing address
26891 Spring St
San Juan Capistrano, CA 92675-2692
Other names
- Stacie Lyn Cooper Eshelman
Other providers in San Juan Capistrano, CA
- Joann Coker
- Mia Collica
- Grant Collins
- Kristie Compau
- Jon Conti
- Kaisa McDonnall Coppola
- Paige Nicole Corbett
- Omero Corral
- Thomas Joseph Corrigan
- Costco Wholesale Corporation
All providers in San Juan Capistrano, CA · Mental Health Counselor in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 24, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.