Shilea Dianne Cooper

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

13330295-6009 Issued in UT

Practice address

1258 W South Jordan Pkwy Ste 202
South Jordan, UT 84095-4712

Phone

(801) 255-1155

NPI assigned

Apr 22, 2024

Sex

Female

Sole proprietor

No

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

Practice roles

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.

• Eft Clinic, LLC

  • Adult Mental Health Clinic/Center
  • Salt Lake City, UT
  • NPI 1801778741
  NPD (past)
• Suncrest Counseling

  • Community/Behavioral Health Agency
  • South Jordan, UT
  • NPI 1902232085
  NPD (past)

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

{
    "created_epoch": "1713744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1285489351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10961 S CHAMP JASPER WAY",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840951243",
            "telephone_number": "801-671-2647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1258 W SOUTH JORDAN PKWY STE 202",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840954712",
            "telephone_number": "801-255-1155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4505 S Wasatch Blvd Ste 290",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841244204",
            "country_code": "US",
            "telephone_number": "385-695-5949",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOPER",
        "first_name": "SHILEA",
        "middle_name": "DIANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-22",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "13330295-6009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Connelly, LMFT
• Deidre Conover, PA-C
• Cook Clinic LLC
• Juliann Marie Cook Jeppsen, LCSW
• David E Cook, M.D.
• Copper Cove Pediatric Dentistry
• Copper Mountain Speech Therapy LLC
• Copper Ridge Counseling
• Copper Ridge Counseling LLC
• Copperview Medical Center, LLC

• Mental Health Counselor in South Jordan, UT
• Providers in South Jordan, UT by specialty
• Mental Health Counselor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.