Organization Active NPI

Cope Community Services, Inc.

  • Community/Behavioral Health Agency
  • Tucson, AZ
National Provider Identifier
1174895569
Registry record updated Nov 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
OTC5284 Issued in AZ
Legal business name
COPE COMMUNITY SERVICES, INC.
Practice address
2435 N Castro Ave
Tucson, AZ 85705
Phone
(520) 622-8030
Fax
(520) 622-8012
NPI assigned
Feb 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2019

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

Authorized official

Name
Rodney Cook
Title
Ceo
Phone
(520) 792-3293

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084P0800X OTC5284 AZ
Case Management Agency 251B00000X OTC5284 AZ
Community/Behavioral Health Agency 251S00000X OTC5284 AZ Primary
Health Service Clinic/Center 261QH0100X OTC5284 AZ

Addresses

Primary practice location

2435 N Castro Ave
Tucson, AZ 85705

Mailing address

1477 W Commerce CT
Tucson, AZ 85746-6016
Phone (520) 792-3293

Other identifiers 1

IdentifierTypeStateIssuer
921819MedicaidAZ

Other names 1

  • COPE Behavioral Services, Inc. Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040812000914 AZ Part B Supplier - Clinic/Group Practice 9537131198 Receives reassigned benefits from 42 practitioners
29 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Green Valley, AZ; Tucson, AZ

Other NPIs on the same Medicare enrollment 16

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 16

National Provider Directory

National Provider Directory
Tax ID family
Cope Community Services Inc16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

Locations

5840 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 498-3900

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1328054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574380800000",
    "number": "1174895569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1477 W COMMERCE CT",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857466016",
            "telephone_number": "520-792-3293",
            "fax_number": "520-792-4336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2435 N CASTRO AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85705",
            "telephone_number": "520-622-8030",
            "fax_number": "520-622-8012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COPE COMMUNITY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-01",
        "last_updated": "2019-11-22",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "520-792-3293"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "OTC5284",
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "AZ",
            "license": "OTC5284",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "OTC5284",
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "AZ",
            "license": "OTC5284",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "921819",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COPE Behavioral Services, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.