Katelyn Cooper, PSYC-C

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

00016107 Issued in CO

Practice address

1777 Yellow Pine Ave
Boulder, CO 80304-4367

Phone

(616) 747-1806

NPI assigned

Nov 5, 2019

Sex

Female

Sole proprietor

No

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

State licenses

Practice roles

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.

• Cascadia Health

  • Multi-Specialty Clinic/Center
  • Portland, OR
  • NPI 1568531952
  NPD (past)

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

{
    "created_epoch": "1572912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775606400000",
    "number": "1346884012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 DALE ST",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288063262",
            "telephone_number": "616-747-1806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 YELLOW PINE AVE",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803044367",
            "telephone_number": "616-747-1806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "KATELYN",
        "name_prefix": "Dr.",
        "credential": "PSYC-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-05",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "00016107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carmen Crystal Cool, M.A., L.P.C.
• Jessica Fern Cooley, MS
• Marilyn Coonelly, PH.D.
• Caroline Anne Cooper, PA
• Graziela Cooper, L. AC.
• Khia Cooper, RDH, BS
• Marcy Cooper, M.D.
• Marilyn L J Cooper, MSS
• Sydney Ann Cooper
• Poppy Carlson Copeland, MA LPC

• Clinical Psychologist in Boulder, CO
• Providers in Boulder, CO by specialty
• Clinical Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; 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.