Kyra Cooper, LPC-ASSOCIATE
Individual provider Active NPI Mental Health Counselor · Joshua, TX
NPI 1104606334 · NPPES record last updated Oct 4, 2023
Key facts
- NPI
- 1104606334
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 926631 (TX)
- Practice address
- 5920 Rozanna St
Joshua, TX 76058-4165 - Phone
- (940) 441-7507
- NPI assigned
- Oct 4, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 926631 | TX | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 926631 | TX | |
| Professional Counselor | 101YP2500X | 926631 | TX | |
| Mental Health Counselor | 101YM0800X | 926631 | TX | Yes |
Addresses
Primary practice location
5920 Rozanna St
Joshua, TX 76058-4165
Mailing address
5920 Rozanna St
Joshua, TX 76058-4165
Phone (940) 441-7507
Other providers in Joshua, TX
- CGC Health Solutions Inc
- Marcy Cherry
- Christlove Home Care Services, LLC
- City of Joshua EMS
- Jessica Cooper
- Ava J Cutrer
- Gene Thomas Dewitt
- Deborah Duval
- Kourtney East
- Marcy D Easter
All providers in Joshua, TX · Mental Health Counselor in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 4, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.