Active NPI
Robert J Cooperman, LPC
- Professional Counselor
- Farmington, CT
National Provider Identifier
1104025469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 001311
- Practice address
- 780 Farmington Ave Ste F
Farmington, CT 06032-2362 - Phone
- (860) 655-8555
- NPI assigned
- Jul 16, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 001311 | CT | Primary |
Addresses
Primary practice location
780 Farmington Ave Ste F
Farmington, CT 06032-2362
Mailing address
780 Farmington Ave Ste F
Farmington, CT 06032-2362
Phone (860) 655-8555
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
| License | State | Type | Specialty |
|---|---|---|---|
| 001311 | CT | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Success Strategies LLC | Professional | Past | Accepting new patients |
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": "1184544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184544000000",
"number": "1104025469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "780 FARMINGTON AVE STE F",
"city": "FARMINGTON",
"state": "CT",
"postal_code": "060322362",
"telephone_number": "860-655-8555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "780 FARMINGTON AVE STE F",
"city": "FARMINGTON",
"state": "CT",
"postal_code": "060322362",
"telephone_number": "860-655-8555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPERMAN",
"first_name": "ROBERT",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-16",
"last_updated": "2007-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CT",
"license": "001311",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Farmington, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.