Matthew Shawn Cooper Jr., M.A. LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

4999 Issued in OK

Practice address

12415 E 191St St S
Bixby, OK 74008-6600

Phone

(539) 664-6602

Fax

(918) 364-1904

NPI assigned

Jun 19, 2007

Last updated

Sep 20, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379635200000",
    "number": "1295930329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4155",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741590155",
            "telephone_number": "539-664-6602",
            "fax_number": "918-364-1904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12415 E 191ST ST S",
            "city": "BIXBY",
            "state": "OK",
            "postal_code": "740086600",
            "telephone_number": "539-664-6602",
            "fax_number": "918-364-1904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "MATTHEW",
        "middle_name": "SHAWN",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "M.A. LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-19",
        "last_updated": "2013-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "4999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Brooke Coy, DDS
• Craig C Hine DDS PC (Hine Dental)

• Professional Counselor in Bixby, OK
• Providers in Bixby, OK by specialty
• Professional Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2013; 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.