Deborah Susan Coovert-Baker, RADT

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

R1340590319 Issued in CA

Practice address

1265 N Chrisden St Apt Q104
Anaheim, CA 92807-2208

Phone

(714) 936-9765

NPI assigned

Mar 15, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1615766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615766400000",
    "number": "1144805763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1265 N CHRISDEN ST APT Q104",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928072208",
            "telephone_number": "714-936-9765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 N CHRISDEN ST APT Q104",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928072208",
            "telephone_number": "714-936-9765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOVERT-BAKER",
        "first_name": "DEBORAH",
        "middle_name": "SUSAN",
        "credential": "RADT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-15",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "R1340590319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amal F Cooper, D C
• Andre Terrill Cooper Sr.
• Donnau M Cooper, MFT
• Julie Noelle Cooper
• Scott T Cooper, DPM
• Jayda Marie Cope
• Rochelle Copeland
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• Joan Cora
• Rafael Coral

• Addiction (Substance Use Disorder) Counselor in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; 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.