Organization Active NPI

Cooper Counseling Services PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Owasso, OK
National Provider Identifier
1295393387
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
COOPER COUNSELING SERVICES PLLC
Practice address
10310 N 138TH East Ave Ste 201
Owasso, OK 74055-4641
Phone
(405) 254-6081
NPI assigned
Jun 3, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Authorized official

Name
Misty Cooper, LPC-SNPI 1295074268
Title
Owner
Phone
(918) 605-9202

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 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 identifiers 1

IdentifierTypeStateIssuer
200474420MedicaidOK

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1559520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1295393387",
    "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": [],
    "basic": {
        "organization_name": "COOPER COUNSELING SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-03",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "MISTY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-605-9202",
        "authorized_official_credential": "LPC-S"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200474420",
            "state": "OK"
        }
    ],
    "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 Jun 11, 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.