Active NPI
Steedric O Cooper
- Case Manager/Care Coordinator
- Shreveport, LA
National Provider Identifier
1336587765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 1513 Line Ave Ste 225
Shreveport, LA 71101 - Phone
- (318) 754-3890
- Fax
- (318) 658-9012
- NPI assigned
- Jun 7, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
1513 Line Ave Ste 225
Shreveport, LA 71101
Mailing address
1513 Line Ave Ste 225
Shreveport, LA 71101-4621
Phone (318) 754-3890
Other practice location 1
583 W Gaines St
Monticello, AR 71655-4637
Phone (870) 367-2143
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alternative Opportunities | Past | Accepting new patients | |
| Jenkins Counseling Services, LLC | Past | Accepting new patients | |
| Preferred Family Healthcare, Inc. | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Shreveport, LA
- NPI 1831556216
-
- Community/Behavioral Health Agency
- Monticello, AR
- NPI 1164734034
-
- Federally Qualified Health Center (FQHC)
- Hannibal, MO
- NPI 1306721709
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542067200000",
"number": "1336587765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1513 LINE AVE STE 225",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711014621",
"telephone_number": "318-754-3890",
"fax_number": "318-658-9012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1513 LINE AVE STE 225",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "71101",
"telephone_number": "318-754-3890",
"fax_number": "318-658-9012"
}
],
"practiceLocations": [
{
"address_1": "583 W Gaines St",
"address_purpose": "LOCATION",
"city": "Monticello",
"state": "AR",
"postal_code": "716554637",
"country_code": "US",
"telephone_number": "870-367-2143",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COOPER",
"first_name": "STEEDRIC",
"middle_name": "O",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-07",
"last_updated": "2018-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.