Organization Active NPI

Dr Pete Cooper PHD LPC-S CLC LLC

  • Counselor
  • Mandeville, LA
National Provider Identifier
1013707405
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
DR PETE COOPER PHD LPC-S CLC LLC
Practice address
2000 N Causeway Blvd FL 2
Mandeville, LA 70471-3154
Phone
(985) 777-3184
NPI assigned
May 8, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2025

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

Authorized official

Name
Pete CooperNPI 1013346477
Title
Owner/LPC
Phone
(985) 777-3184

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

2000 N Causeway Blvd FL 2
Mandeville, LA 70471-3154

Mailing address

2000 N Causeway Blvd FL 2
Mandeville, LA 70471-3154
Phone (985) 777-3184

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250624002428 LA Part B Supplier - Clinic/Group Practice 8325550569 Receives reassigned benefits from 1 practitioner
Practice locations: Mandeville, LA

National Provider Directory

National Provider Directory

Locations

2000 N Causeway Blvd
Fl 2
Mandeville, LA 70471
Phone (985) 777-3184

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1746662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746662400000",
    "number": "1013707405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 N CAUSEWAY BLVD FL 2",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704713154",
            "telephone_number": "985-777-3184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 N CAUSEWAY BLVD FL 2",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704713154",
            "telephone_number": "985-777-3184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR PETE COOPER PHD LPC-S CLC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-08",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "PETE",
        "authorized_official_title_or_position": "OWNER/LPC",
        "authorized_official_telephone_number": "985-777-3184"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mandeville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.