Individual provider Active NPI

Chidi E Cooper, CADC

  • Addiction (Substance Use Disorder) Counselor
  • Fayetteville, NC
National Provider Identifier
1154214161
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CADC-28694 Issued in NC
Practice address
5511 Ramsey St Ste 201
Fayetteville, NC 28311-1497
Phone
(704) 777-8858
NPI assigned
May 29, 2025
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CADC-28694 NC Primary

Addresses

Primary practice location

5511 Ramsey St Ste 201
Fayetteville, NC 28311-1497

Mailing address

5511 Ramsey St Ste 201
Fayetteville, NC 28311-1497
Phone (704) 777-8858

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
CADC-28694NCMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Free2Bu Therapeutic Services PLLC Addiction (Substance Use Disorder) CurrentSince Jun 3, 2025 Accepting new patients

Locations

5416 Raeford Rd
Ste A
Fayetteville, NC 28304
Phone (910) 212-7634

5511 Ramsey St
Ste 201
Fayetteville, NC 28311
Phone (704) 777-8858

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": "1748476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1154214161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5511 RAMSEY ST STE 201",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283111497",
            "telephone_number": "704-777-8858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5511 RAMSEY ST STE 201",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283111497",
            "telephone_number": "704-777-8858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "CHIDI",
        "middle_name": "E",
        "credential": "CADC",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-05-29",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "CADC-28694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; 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.