Organization Active NPI

Jane R. Cooper Counseling & Psychotherapy, PLLC

  • Professional Counselor
  • Glastonbury, CT
National Provider Identifier
1346095007
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
JANE R. COOPER COUNSELING & PSYCHOTHERAPY, PLLC
Practice address
302 Founders Rd
Glastonbury, CT 06033-3210
Phone
(860) 638-9966
NPI assigned
Apr 17, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Authorized official

Name
Jane Roberta Cooper, M.ED., LPCNPI 1093891327
Title
Licensed Professional Counselor
Phone
(860) 638-9966

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
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

302 Founders Rd
Glastonbury, CT 06033-3210

Mailing address

302 Founders Rd
Glastonbury, CT 06033-3210
Phone (860) 638-9966

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240520000531 CT Part B Supplier - Clinic/Group Practice 0941641120 Receives reassigned benefits from 1 practitioner
Practice locations: Cromwell, CT; Glastonbury, CT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1713312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722384000000",
    "number": "1346095007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 FOUNDERS RD",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060333210",
            "telephone_number": "860-638-9966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 FOUNDERS RD",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060333210",
            "telephone_number": "860-638-9966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANE R. COOPER COUNSELING & PSYCHOTHERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-17",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "ROBERTA",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "860-638-9966",
        "authorized_official_credential": "M.ED., LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glastonbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.