Christina Cooper, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801105084 Issued in MI

Practice address

2836 E Apple Ave
Muskegon, MI 49442-4502

Phone

(231) 340-2263

Fax

(231) 773-4577

NPI assigned

May 6, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• A Frame of Mind

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Muskegon, MI
  • NPI 1770133407
  Medicare reassignment NPD Authorized official
• West Michigan Community Mental Health System

  • Mental Health Counselor
  • Ludington, MI
  • NPI 1275646309
  Medicare reassignment NPD
• West Michigan Community Mental Health System

  • Primary Care Nurse Practitioner
  • Ludington, MI
  • NPI 1376017889
  NPD

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

{
    "created_epoch": "1399334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574294400000",
    "number": "1306256771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2836 E APPLE AVE",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494424502",
            "telephone_number": "231-340-2263",
            "fax_number": "231-773-4577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2836 E APPLE AVE",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494424502",
            "telephone_number": "231-340-2263",
            "fax_number": "231-773-4577"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "507 36th st sw",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "49548",
            "country_code": "US",
            "telephone_number": "517-676-5405",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "920 Diana St",
            "address_purpose": "LOCATION",
            "city": "Ludington",
            "state": "MI",
            "postal_code": "494311987",
            "country_code": "US",
            "telephone_number": "231-845-6294",
            "fax_number": "231-845-7095",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOPER",
        "first_name": "CHRISTINA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-06",
        "last_updated": "2019-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "MI",
            "license": "6801096466",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801105084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMSW",
            "identifier": "6801105084",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paige K Cook, LMSW
• Timothy J Cook, DO
• James A Cooke, D.O.
• Lauren Elizabeth Cooley
• Robert Coon
• Christopher Cooper, M.D.
• Essence Cooper
• Janice Lynn Cooper, NP
• Sandy Cooper, LMSW
• Tracy A Cooper, LPC

• Clinical Social Worker in Muskegon, MI
• Providers in Muskegon, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.