Individual provider Active NPI

Amanda E. Cooper

  • Mental Health Counselor
  • Woodway, TX
National Provider Identifier
1326710930
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
80974 Issued in TX
Practice address
7710 Central Park Dr Ste 2
Woodway, TX 76712-6518
Phone
(254) 218-4478
NPI assigned
Oct 1, 2021
Last updated
Feb 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 80974 TX Primary

Addresses

Primary practice location

7710 Central Park Dr Ste 2
Woodway, TX 76712-6518

Mailing address

7710 Central Park Dr Ste 2
Waco, TX 76712-6518
Phone (254) 218-4478

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 12, 2024 through Feb 12, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pearl Counseling of Texas, PLLC Mental Health CurrentSince Mar 11, 2025 Accepting new patients
Compleo Physical Therapy & Wellness LLC CurrentSince Oct 1, 2021 Accepting new patients

Locations

6704 Woodway Dr
Woodway, TX 76712
Phone (254) 366-3662

7710 Central Park Dr
Ste 2
Woodway, TX 76712
Phone (254) 203-9227

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1633046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1326710930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7710 CENTRAL PARK DR STE 2",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767126518",
            "telephone_number": "254-218-4478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7710 CENTRAL PARK DR STE 2",
            "city": "WOODWAY",
            "state": "TX",
            "postal_code": "767126518",
            "telephone_number": "254-218-4478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "AMANDA",
        "middle_name": "E.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-01",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "80974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodway, TX

Sources for this page

Verify at the official NPI Registry.