Active NPI
Kelly Lynn Cooper, LMHC
- Counselor
- Greenwood, IN
National Provider Identifier
1033908710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 39003513A
- Practice address
- 70 E Main St Ste F
Greenwood, IN 46143-4203 - Phone
- (317) 360-5315
- NPI assigned
- May 1, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 39003513A | IN | Primary |
Addresses
Primary practice location
70 E Main St Ste F
Greenwood, IN 46143-4203
Mailing address
713 E Pleasant Run Parkway South Dr
Indianapolis, IN 46203-3914
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39003513A | IN | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Current | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
9465 Counselors Row
Ste 200
Indianapolis, IN 46240
Phone (463) 220-4646
Organizations & group practices 1
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": "1746057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746057600000",
"number": "1033908710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "713 E PLEASANT RUN PARKWAY SOUTH DR",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462033914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 E MAIN ST STE F",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461434203",
"telephone_number": "317-360-5315"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER",
"first_name": "KELLY",
"middle_name": "LYNN",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-05-01",
"last_updated": "2025-05-01",
"certification_date": "2025-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "IN",
"license": "39003513A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenwood, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.