Active NPI
Precious Cooper
- Licensed Psychiatric Technician
- San Francisco, CA
National Provider Identifier
1154670255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Psychiatric Technician
- License
- 31924
- Practice address
- 3801 3Rd. St.
Suite 400
San Francisco, CA 94124-1409 - Phone
- (415) 970-3800
- Fax
- (415) 970-3855
- NPI assigned
- Sep 5, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | PT31924 | CA | |
| Licensed Psychiatric Technician | 167G00000X | 31924 | CA | Primary |
Addresses
Primary practice location
3801 3Rd. St.
Suite 400
San Francisco, CA 94124-1409
Mailing address
3801 3Rd. St.
Suite 400
San Francisco, CA 94124-1409
Phone (415) 970-3800
Other names 1
- Precious Bennett
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 |
|---|---|---|---|
| PT31924 | CA | MD | Mental Health Counselor |
| 31924 | CA | MD | Licensed Psychiatric Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1509580800000",
"number": "1154670255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3801 3RD. ST.",
"address_2": "SUITE 400",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941241409",
"telephone_number": "415-970-3800",
"fax_number": "415-970-3855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3801 3RD. ST.",
"address_2": "SUITE 400",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941241409",
"telephone_number": "415-970-3800",
"fax_number": "415-970-3855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER",
"first_name": "PRECIOUS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-05",
"last_updated": "2017-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "PT31924",
"primary": false
},
{
"code": "167G00000X",
"taxonomy_group": "",
"desc": "Licensed Psychiatric Technician",
"state": "CA",
"license": "31924",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PRECIOUS",
"last_name": "BENNETT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.