Active NPI
Clinton Cooper, LMFT
- Marriage & Family Therapist
- Scottsdale, AZ
National Provider Identifier
1124595871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT15377
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| LMFT15377 | AZ | MD | Marriage & Family Therapist |
| MFT001648 | GA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clint Cooper LMFT PLLC | Current | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Scottsdale, AZ
- NPI 1679163737
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.