Individual provider Active NPI

Sirpa Hannele Cossaboon, PHD, LPC, LPCMH

  • Professional Counselor
  • Coatesville, PA
National Provider Identifier
1366197683
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC018612 Issued in PA
Practice address
112 Airport Rd Ste 334
Coatesville, PA 19320-5800
Phone
(484) 909-3260
NPI assigned
Feb 15, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X PC-0011859 DE
Professional Counselor 101YP2500X PC018612 PA Primary

Addresses

Primary practice location

112 Airport Rd Ste 334
Coatesville, PA 19320-5800

Mailing address

112 Airport Rd Ste 334
Coatesville, PA 19320-5800
Phone (484) 775-0822

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PC-0011859DEMDMental Health Counselor
PC018612PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Eagles Counseling LLC Professional Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1644883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752796800000",
    "number": "1366197683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 AIRPORT RD STE 334",
            "city": "COATESVILLE",
            "state": "PA",
            "postal_code": "193205800",
            "telephone_number": "484-775-0822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 AIRPORT RD STE 334",
            "city": "COATESVILLE",
            "state": "PA",
            "postal_code": "193205800",
            "telephone_number": "484-909-3260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSSABOON",
        "first_name": "SIRPA",
        "middle_name": "HANNELE",
        "credential": "PHD, LPC, LPCMH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-15",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "DE",
            "license": "PC-0011859",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC018612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coatesville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2025; 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.