Individual provider Active NPI

Ameerah Cooper

  • Professional Counselor
  • San Bernardino, CA
National Provider Identifier
1225535347
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPCC14369 Issued in CA
Practice address
244 S D St
San Bernardino, CA 92401-2004
Phone
(909) 763-4840
NPI assigned
Apr 6, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPCC14369 CA Primary
Mental Health Counselor 101YM0800X APCC6274 CA

Addresses

Primary practice location

244 S D St
San Bernardino, CA 92401-2004

Mailing address

21369 Nisqually Rd Apt 1
Apple Valley, CA 92308-4305
Phone (909) 802-9224

Other practice location 1

12421 Hesperia Rd Ste 4-6
Victorville, CA 92395-7703
Phone (760) 843-5940 ext. 206

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
APCC6274CAMDMental Health Counselor
LPCC14369CAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1522972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1225535347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21369 NISQUALLY RD APT 1",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923084305",
            "telephone_number": "909-802-9224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 S D ST",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924012004",
            "telephone_number": "909-763-4840"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12421 Hesperia Rd Ste 4-6",
            "address_purpose": "LOCATION",
            "city": "Victorville",
            "state": "CA",
            "postal_code": "923957703",
            "country_code": "US",
            "telephone_number": "760-843-5940 x206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOPER",
        "first_name": "AMEERAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-06",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "LPCC14369",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "APCC6274",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; 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.