Individual provider Active NPI

Kristen Joy Cooper Macdiarmid, LPC

  • Professional Counselor
  • San Antonio, TX
National Provider Identifier
1053852913
Registry record updated Sep 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
74059 Issued in TX
Practice address
8523 Grapevine Pass
San Antonio, TX 78255-2264
Phone
(210) 960-3752
Fax
(210) 569-7790
NPI assigned
Mar 12, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 74059 TX Primary

Addresses

Primary practice location

8523 Grapevine Pass
San Antonio, TX 78255-2264

Mailing address

8523 Grapevine Pass
San Antonio, TX 78255-2264
Phone (210) 960-3752

Other names 1

  • Kristen Joy Cooper Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
74059TXMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1489276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632096000000",
    "number": "1053852913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8523 GRAPEVINE PASS",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782552264",
            "telephone_number": "210-960-3752",
            "fax_number": "210-569-7790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8523 GRAPEVINE PASS",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782552264",
            "telephone_number": "210-960-3752",
            "fax_number": "210-569-7790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER MACDIARMID",
        "first_name": "KRISTEN",
        "middle_name": "JOY",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-12",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "74059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "COOPER",
            "middle_name": "JOY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2021; 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.