Active NPI
Hailey Renae Cooper, MA
- Counseling Psychologist
- Alma, MI
National Provider Identifier
1104559681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 6362009555
- Practice address
- 724 E Superior St
Alma, MI 48801-1900 - Phone
- (989) 796-4555
- Fax
- (989) 285-1674
- NPI assigned
- Jul 2, 2022
- Last updated
- Jul 2, 2022
- 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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 6362009555 | MI | Primary |
Addresses
Primary practice location
724 E Superior St
Alma, MI 48801-1900
Mailing address
3740 S Isabella Rd Apt 106
Mount Pleasant, MI 48858-4486
Phone (785) 874-8046
Other names 1
- Hailey Renae Branek
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Wayne State University School of Medicine, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1505 Waterford Pkwy
Saint Johns, MI 48879-9630
4647 W Cedar Lake Rd
Greenbush, MI 48738-9716
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6362009555 | MI | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656720000000",
"number": "1104559681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3740 S ISABELLA RD APT 106",
"city": "MOUNT PLEASANT",
"state": "MI",
"postal_code": "488584486",
"telephone_number": "785-874-8046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "724 E SUPERIOR ST",
"city": "ALMA",
"state": "MI",
"postal_code": "488011900",
"telephone_number": "989-796-4555",
"fax_number": "989-285-1674"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER",
"first_name": "HAILEY",
"middle_name": "RENAE",
"name_prefix": "Mrs.",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-02",
"last_updated": "2022-07-02",
"certification_date": "2022-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MI",
"license": "6362009555",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HAILEY",
"last_name": "BRANEK",
"middle_name": "RENAE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Alma, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.