Active NPI
Isaac Cooper, ALC
- Professional Counselor
- Montgomery, AL
National Provider Identifier
1154983377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C3324A
- Practice address
- 2421 Presidents Dr Ste B-21
Montgomery, AL 36116-1632 - Phone
- (334) 539-7017
- NPI assigned
- Jul 8, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | C3324A | AL | Primary |
Addresses
Primary practice location
2421 Presidents Dr Ste B-21
Montgomery, AL 36116-1632
Mailing address
8743 Ridgestone CT
Montgomery, AL 36117-8874
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Montgomery |
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 |
|---|---|---|---|
| C3324A | AL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coopers Home Care Solutions, LLC | Current | Accepting new patients | |
| Coopers Mental Healh Consultations | Current | Accepting new patients |
Locations
2421 Presidents Dr
Ste B-21
Montgomery, AL 36116
Phone (334) 539-7017
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 and National Provider Directory roles.
-
- Psychologist
- Montgomery, AL
- NPI 1194203414
-
- Home Health Agency
- Montgomery, AL
- NPI 1134951163
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562544000000",
"number": "1154983377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8743 RIDGESTONE CT",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361178874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2421 PRESIDENTS DR STE B-21",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361161632",
"telephone_number": "334-539-7017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER",
"first_name": "ISAAC",
"credential": "ALC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-07-08",
"last_updated": "2019-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AL",
"license": "C3324A",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Montgomery",
"affiliation": "N",
"address_1": "2421 Presidents Dr Ste B-21",
"city": "Montgomery",
"state": "AL",
"country_code": "US",
"postal_code": "361161632",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Montgomery, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.