Jordana Cooper

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

R1211520815 Issued in CA

Practice address

141 Crowsnest CT
Vallejo, CA 94591-7770

Phone

(707) 301-8433

NPI assigned

Sep 23, 2015

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1442966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442966400000",
    "number": "1184093882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 CROWSNEST CT",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945917770",
            "telephone_number": "707-301-8433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 CROWSNEST CT",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945917770",
            "telephone_number": "707-301-8433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "JORDANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-23",
        "last_updated": "2015-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "R1211520815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Constance Melinda Cook, LCSW
• Juanita Cook, L.P.T.
• Lay Vern Cook, MSW
• Susan Meredith Cooke, OTRL
• Callisa Cooper, PT, DPT
• Michael Jeffrey Cooper, M.D.
• Aden Zukor Copeland, DO
• Copperspring Wellness LLC
• Peter David Corbet-Owen, RPH CALIFORNIA
• Scott Roger Corbin, DC CHIROPRACTOR

• Addiction (Substance Use Disorder) Counselor in Vallejo, CA
• Providers in Vallejo, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.