Katherine Marie Cooper, LCPC, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.018151 Issued in IL

Practice address

8124 State Route 140
Edwardsville, IL 62025-6114

Phone

(567) 337-9937

NPI assigned

Feb 27, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 6

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Deer Oaks Mental Health Associates PC

  • Clinical Psychologist
  • Las Cruces, NM
  • NPI 1134175763

  ID

  Medicare reassignment NPD
• Prairie Rose Counseling and Consulting, PLLC

  • Professional Counselor
  • Edwardsville, IL
  • NPI 1023948478
  NPD Authorized official
• All of US in Recovery

  • Community/Behavioral Health Agency
  • Devils Lake, ND
  • NPI 1710701230
  NPD
• Lake to Prairie Investments LLC

  • Case Management Agency
  • Devils Lake, ND
  • NPI 1356115505
  NPD

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

{
    "created_epoch": "1708992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781740800000",
    "number": "1053177808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8124 STATE ROUTE 140",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620256114",
            "telephone_number": "567-337-9937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8124 STATE ROUTE 140",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620256114",
            "telephone_number": "567-337-9937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "KATHERINE",
        "middle_name": "MARIE",
        "credential": "LCPC, LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-27",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "101500",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "8321003",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "70080587",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C11493",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ND",
            "license": "1350-4-1-24-600",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.018151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Community Living Options Inc
• Sheri Compton-McBride, DNP, RN
• Amanda Cook
• Asia Cook
• Jamie Cooper, MA CCC-SLP
• Laura Cooper
• Core Physical Medicine LLC
• Meredith Corr
• Brandy Corzine, PTA
• Mason T Cotterel, MAT, ATC

• Professional Counselor in Edwardsville, IL
• Providers in Edwardsville, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2026; 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.

Verify at the official NPI Registry.