Individual provider Active NPI

Maria C Cooper, LCPC

  • Mental Health Counselor
  • Dodge City, KS
National Provider Identifier
1134610900
Registry record updated Nov 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3125 Issued in KS
Practice address
506 Avenue L
Dodge City, KS 67801-5319
Phone
(620) 227-8566
NPI assigned
May 28, 2018
Last updated
Nov 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 3125 KS Primary

Addresses

Primary practice location

506 Avenue L
Dodge City, KS 67801-5319

Mailing address

PO Box 1905
Garden City, KS 67846-1905
Phone (620) 275-0644

Other identifiers 1

IdentifierTypeStateIssuer
201110030AMedicaidKS

Other names 1

  • Maria C Cox Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231128003587 KS Practitioner - Mental Health Counselor 0941658116 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Compass Behavioral HealthGroup PAC ID 1355323122, 29 clinicians

Practice addresses (Care Compare)

506 Ave L
Dodge City, KS 67801-5319
Phone (620) 227-8566

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3125KSMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Behavioral Health CurrentSince Dec 3, 2023 Accepting new patients
Compass Behavioral Health CurrentSince Jan 1, 2024 Accepting new patients

Locations

506 Avenue L
Dodge City, KS 67801
Phone (620) 227-8566

1111 E Spruce St
Garden City, KS 67846
Phone (620) 276-7689

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1527465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1134610900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1905",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678461905",
            "telephone_number": "620-275-0644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 AVENUE L",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "678015319",
            "telephone_number": "620-227-8566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "MARIA",
        "middle_name": "C",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-28",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KS",
            "license": "3125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201110030A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "COX",
            "middle_name": "C",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dodge City, KS

Sources for this page

Verify at the official NPI Registry.