Cheryl Cooper, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

906185 Issued in MS

Practice address

605 2ND Ave N
Columbus, MS 39701-4513

Phone

(661) 434-4210

Fax

(601) 657-1044

NPI assigned

Sep 22, 2023

Last updated

Jun 29, 2026By the provider in NPPES

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

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Pathway Healthcare- Mississippi LLCGroup PAC ID 3779844774, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pathway Healthcare- Mississippi LLC

  • Addiction Medicine (Family Medicine) Physician
  • Laurel, MS
  • NPI 1013425503
  Medicare reassignment Care Compare group NPD
• Impact Behavioral Counseling LLC

  • Addiction (Substance Use Disorder) Counselor
  • Jackson, TN
  • NPI 1386169050
  NPD (past)

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

{
    "created_epoch": "1695340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1174302830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 MEDICAL PARK DR E STE 453",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353472",
            "telephone_number": "205-208-9312",
            "fax_number": "205-848-2227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 2ND AVE N",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397014513",
            "telephone_number": "661-434-4210",
            "fax_number": "601-657-1044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2655 Lakeland Dr",
            "address_purpose": "LOCATION",
            "city": "Flowood",
            "state": "MS",
            "postal_code": "392329516",
            "country_code": "US",
            "telephone_number": "601-957-7343",
            "fax_number": "601-265-1657",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5 Dunnbarr",
            "address_purpose": "LOCATION",
            "city": "Laurel",
            "state": "MS",
            "postal_code": "394401041",
            "country_code": "US",
            "telephone_number": "601-651-3015",
            "fax_number": "601-265-1657",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOPER",
        "first_name": "CHERYL",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-22",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "906185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Complete Prosthetics & Orthotics, Inc.
• John Wesley Conn
• Nathan Andrews Connor, DO
• Convenient Care Medical Clinic LLC
• Jennifer Marlow Cook, P-LPC
• Melissa Cooper, LCSW
• April Stevenson Corcoran
• Mollie Beard Cornelius, N.P.
• Cornerstone Family Medical Center LLC
• Walter N Cosby, M.D.

• Psychiatric/Mental Health Nurse Practitioner in Columbus, MS
• Providers in Columbus, MS by specialty
• Psychiatric/Mental Health Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.