Individual provider Active NPI

Pete Cooper, PH.D., LPC-S, CLC

  • Counselor
  • Mandeville, LA
National Provider Identifier
1013346477
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
5137 Issued in LA
Practice address
2000 N Causeway Blvd
Suite B
Mandeville, LA 70471-3154
Phone
(985) 882-1233
Fax
(985) 089-6909
NPI assigned
Nov 6, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 5137 LA Primary

Addresses

Primary practice location

2000 N Causeway Blvd
Suite B
Mandeville, LA 70471-3154

Mailing address

2000 N Causeway Blvd Ste B
Suite B
Mandeville, LA 70471-3173
Phone (985) 882-1233

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250624002600 LA Practitioner - Mental Health Counselor 1052823291 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2000 N Causeway Blvd
2ND Floor Suite a
Mandeville, LA 70471-3166
Phone (985) 777-3184

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
5137LAMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Pete Cooper PHD LPC-S CLC LLC Counselor CurrentSince Jan 1, 2025 Accepting new patients
Northshore Zen Professional Past Accepting new patients

Locations

2000 N Causeway Blvd
Ste A
Mandeville, LA 70471
Phone (985) 777-3184

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1383696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1013346477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 N CAUSEWAY BLVD STE B",
            "address_2": "SUITE B",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704713173",
            "telephone_number": "985-882-1233",
            "fax_number": "985-809-6909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 N CAUSEWAY BLVD",
            "address_2": "SUITE B",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704713154",
            "telephone_number": "985-882-1233",
            "fax_number": "985-089-6909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "PETE",
        "credential": "PH.D., LPC-S, CLC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-11-06",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "LA",
            "license": "5137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mandeville, LA

Sources for this page

Verify at the official NPI Registry.