Individual provider Active NPI

Clinton Cooper, LMFT

  • Marriage & Family Therapist
  • Scottsdale, AZ
National Provider Identifier
1124595871
Registry record updated Apr 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT15377 Issued in AZ
Practice address
13951 N Scottsdale Rd Ste 110
Scottsdale, AZ 85254-3454
Phone
(623) 299-2439
NPI assigned
Oct 31, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFT001648 GA
Marriage & Family Therapist 106H00000X LMFT15377 AZ Primary

Addresses

Primary practice location

13951 N Scottsdale Rd Ste 110
Scottsdale, AZ 85254-3454

Mailing address

20343 N Hayden Rd Ste 105-465
Scottsdale, AZ 85255-3876
Phone (623) 299-2439

Other practice location 1

2525 W Carefree Hwy Ste 102
Phoenix, AZ 85085-9302
Phone (623) 432-8066

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
LMFT15377AZMDMarriage & Family Therapist
MFT001648GAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Clint Cooper LMFT PLLC CurrentSince May 1, 2022 Accepting new patients

Locations

13951 N Scottsdale Rd
Ste 110
Scottsdale, AZ 85254
Phone (480) 596-3821

20343 N Hayden Rd
Ste 105465
Scottsdale, AZ 85255

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": "1540944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1124595871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20343 N HAYDEN RD STE 105-465",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852553876",
            "telephone_number": "623-299-2439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13951 N SCOTTSDALE RD STE 110",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852543454",
            "telephone_number": "623-299-2439"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2525 W Carefree Hwy Ste 102",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850859302",
            "country_code": "US",
            "telephone_number": "623-432-8066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOPER",
        "first_name": "CLINTON",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-31",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "MFT001648",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "AZ",
            "license": "LMFT15377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; 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.