Jillissa Christine Cooper, M.A., LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

67906 Issued in TX

Practice address

2001 W Plano Pkwy Ste 1400
Plano, TX 75075-8607

Phone

(469) 440-7560

NPI assigned

Oct 14, 2014

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

• Ms. Jillissa Cherepon Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1413244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1033513452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 W PLANO PKWY STE 1400",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750758607",
            "telephone_number": "972-212-9175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 W PLANO PKWY STE 1400",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750758607",
            "telephone_number": "469-440-7560"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2730 Belmeade Dr",
            "address_purpose": "LOCATION",
            "city": "Carrollton",
            "state": "TX",
            "postal_code": "750062118",
            "country_code": "US",
            "telephone_number": "512-963-0522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOPER",
        "first_name": "JILLISSA",
        "middle_name": "CHRISTINE",
        "name_prefix": "Mrs.",
        "credential": "M.A., LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-14",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "67906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILLISSA",
            "last_name": "CHEREPON",
            "prefix": "MS.",
            "credential": "MA, LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sabrina N Cooley, OTR
• Brinton Coombs
• Adam W Cooper, PHARMD
• Heather Cooper
• Isharra Cooper
• Tonya Cooper, RPH
• Tracy Cooper, M.A., LPC
• Coordinated Healthcare Services, P.a.
• Dominique Copeland, APRN FNP
• Coppell Spine & Sports Rehab Limited Partnership

• Professional Counselor in Plano, TX
• Providers in Plano, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; 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.