Maureen R Cooper, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

E0001806 Issued in OH

Practice address

1469 S Main
Gentle Shepherd Counseling Center
North Canton, OH 44720

Phone

(330) 499-3065

Fax

(330) 499-2497

NPI assigned

Dec 26, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Gentle Shepherd Counseling Center

  • Professional Counselor
  • North Canton, OH
  • NPI 1003076654
  NPD (past)

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063577435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1536 BAYCREST DR NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "44708",
            "telephone_number": "330-456-7249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1469 S MAIN",
            "address_2": "GENTLE SHEPHERD COUNSELING CENTER",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "44720",
            "telephone_number": "330-499-3065",
            "fax_number": "330-499-2497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "MAUREEN",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E0001806",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7447117",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC BS",
            "identifier": "000000140317",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elaina Michele Conroy, FNP-C
• Brian J Contento, PTA
• Suzanne M Cook, PT, DPT
• Tanya R Cooke, PTA
• Carrie Cooley
• James J Coots
• Hannah Desiree Copeland, LMT
• Rocco J Corbisello, PTA
• Kelly N Corcoran, OTR/L
• Alyssa Marie Coreno, SLP

• Professional Counselor in North Canton, OH
• Providers in North Canton, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.