Jessica Fern Cooley, MS

Primary specialty

PsychoanalystTaxonomy code 102L00000X

License

NLC.0107681 Issued in CO

Practice address

2401 Broadway St # 211
Boulder, CO 80304-4108

Phone

(720) 771-6109

NPI assigned

Apr 26, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jessica Gerrard Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1524700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524700800000",
    "number": "1013405893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 BROADWAY ST # 211",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803044108",
            "telephone_number": "720-771-6109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 BROADWAY ST # 211",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803044108",
            "telephone_number": "720-771-6109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOLEY",
        "first_name": "JESSICA",
        "middle_name": "FERN",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-26",
        "last_updated": "2018-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "CO",
            "license": "NLC.0107681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "GERRARD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Clint Cook, OTD, OTR/L, CLT-UE
• Ella Cook, NP
• Michael Cook
• Rachel Natalya Cooke, PA-C
• Carmen Crystal Cool, M.A., L.P.C.
• Marilyn Coonelly, PH.D.
• Caroline Anne Cooper, PA
• Graziela Cooper, L. AC.
• Katelyn Cooper, PSYC-C
• Khia Cooper, RDH, BS

• Psychoanalyst in Boulder, CO
• Providers in Boulder, CO by specialty
• Psychoanalyst in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.