Individual provider Active NPI

Katherine McCooe, LAC

  • Mental Health Counselor
  • Princeton Junction, NJ
National Provider Identifier
1205343324
Registry record updated Jan 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
37AC00391400 Issued in NJ
Practice address
4065 Quakerbridge Rd
Princeton Junction, NJ 08550-5243
Phone
(609) 651-4001
NPI assigned
Jan 10, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 37AC00391400 NJ Primary

Addresses

Primary practice location

4065 Quakerbridge Rd
Princeton Junction, NJ 08550-5243

Mailing address

26 Willow CT
Hamilton, NJ 08619-4621
Phone (908) 566-5470

Other names 1

  • Katherine Picon Former name

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

LicenseStateTypeSpecialty
37AC00391400NJMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Mental Health Current Accepting new patients
Shine Medical of Ca PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: katherinemccooe@tdh.allscriptsdirect.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1515542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515542400000",
    "number": "1205343324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 WILLOW CT",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086194621",
            "telephone_number": "908-566-5470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4065 QUAKERBRIDGE RD",
            "city": "PRINCETON JUNCTION",
            "state": "NJ",
            "postal_code": "085505243",
            "telephone_number": "609-651-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOOE",
        "first_name": "KATHERINE",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-10",
        "last_updated": "2018-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37AC00391400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "PICON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Princeton Junction, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2018; 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.