Active NPI
Susan Beam Cooper, PHD LMUP
- Counselor
- Lincoln, NE
National Provider Identifier
1205994845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 1414
- Practice address
- 4535 Normal Blvd
Suite 272
Lincoln, NE 68506-2890 - Phone
- (402) 434-0949
- Fax
- (402) 488-8525
- NPI assigned
- Dec 5, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 1414 | NE | Primary |
Addresses
Primary practice location
4535 Normal Blvd
Suite 272
Lincoln, NE 68506-2890
Mailing address
4535 Normal Blvd
Suite 272
Lincoln, NE 68506-2890
Phone (402) 434-0949
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10025233500 | Medicaid | NE |
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1414 | NE | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Christian Counseling, PC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Counselor
- Lincoln, NE
- NPI 1164794632
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1205994845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4535 NORMAL BLVD",
"address_2": "SUITE 272",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685062890",
"telephone_number": "402-434-0949",
"fax_number": "402-488-8525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4535 NORMAL BLVD",
"address_2": "SUITE 272",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685062890",
"telephone_number": "402-434-0949",
"fax_number": "402-488-8525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER",
"first_name": "SUSAN",
"middle_name": "BEAM",
"name_prefix": "Mrs.",
"credential": "PHD LMUP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NE",
"license": "1414",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025233500",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.