Joseph Benton Cooper, PHD, LPC, NCC

Individual provider Active NPI Professional Counselor · Washington, DC

NPI 1154566289 · NPPES record last updated Dec 3, 2008

Key facts

NPI
1154566289
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
PRC13971 (DC)
Practice address
1908 T St NW
Suite a
Washington, DC 20009-1276
Phone
(703) 842-7975
NPI assigned
Dec 3, 2008
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PRC13971DCMDProfessional Counselor
2530NCMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PRC13971 DC Yes
Professional Counselor 101YP2500X 2530 NC

Addresses

Primary practice location

1908 T St NW
Suite a
Washington, DC 20009-1276

Mailing address

4421 Fair Stone Dr
#201
Fairfax, VA 22033-5116
Phone (703) 842-7975

Other providers in Washington, DC

All providers in Washington, DC · Professional Counselor in District of Columbia

Sources for this page

Verify at the official NPI Registry.