Active NPI
Mary Jean Cooper, MA SLP
- Speech-Language Pathologist
- Furlong, PA
National Provider Identifier
1295043487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 013278
- Practice address
- 515 Saint Lawrence Way
Furlong, PA 18925-1001 - Phone
- (718) 494-2141
- NPI assigned
- Sep 22, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 013278 | PA | Primary |
| Speech-Language Pathologist | 235Z00000X | 020376-1 | NY |
Addresses
Primary practice location
515 Saint Lawrence Way
Furlong, PA 18925-1001
Mailing address
515 Saint Lawrence Way
Furlong, PA 18925-1001
Phone (718) 494-2141
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
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 020376-1 | NY | MD | Speech-Language Pathologist |
| 013278 | PA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Big Picture Speech Therapy LLC | Current | 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.
-
- Hearing and Speech Clinic/Center
- Furlong, PA
- NPI 1447974787
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487721600000",
"number": "1295043487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 SAINT LAWRENCE WAY",
"city": "FURLONG",
"state": "PA",
"postal_code": "189251001",
"telephone_number": "718-494-2141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 SAINT LAWRENCE WAY",
"city": "FURLONG",
"state": "PA",
"postal_code": "189251001",
"telephone_number": "718-494-2141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER",
"first_name": "MARY",
"middle_name": "JEAN",
"credential": "MA SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-22",
"last_updated": "2017-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PA",
"license": "013278",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "020376-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Furlong, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.