Individual provider Active NPI

Misty Cooper, LPC-S

  • Mental Health Counselor
  • Owasso, OK
National Provider Identifier
1295074268
Registry record updated Aug 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
5580 Issued in OK
Practice address
10310 N 138TH East Ave Ste 201
Owasso, OK 74055-4641
Phone
(405) 254-6081
NPI assigned
Feb 11, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Mental Health Counselor 101YM0800X 5580 OK Primary

Addresses

Primary practice location

10310 N 138TH East Ave Ste 201
Owasso, OK 74055-4641

Mailing address

10310 N 138TH East Ave Ste 201
Owasso, OK 74055-4641
Phone (405) 254-6081

Other practice location 1

2108 S Javine Ave
Skiatook, OK 74070-3500
Phone (918) 605-9202

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
5580OKMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cooper Counseling Services PLLC PastSince Aug 25, 2019 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.

NPI Registry JSON

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

{
    "created_epoch": "1360540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566172800000",
    "number": "1295074268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10310 N 138TH EAST AVE STE 201",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740554641",
            "telephone_number": "405-254-6081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10310 N 138TH EAST AVE STE 201",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740554641",
            "telephone_number": "405-254-6081"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2108 S Javine Ave",
            "address_purpose": "LOCATION",
            "city": "Skiatook",
            "state": "OK",
            "postal_code": "740703500",
            "country_code": "US",
            "telephone_number": "918-605-9202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOPER",
        "first_name": "MISTY",
        "credential": "LPC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-11",
        "last_updated": "2019-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "5580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owasso, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2019; 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.