Cooper Counseling, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

COOPER COUNSELING, LLC

Practice address

251 Woodford St
Portland, ME 04103-5617

Phone

(207) 253-9435

Fax

(888) 765-8406

NPI assigned

Oct 16, 2012

Organization subpart

No

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

Authorized official

Name

Carla Kingston

Title

Administrator

Phone

(207) 415-0055

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas M Cooper, PHD

  • Psychologist
  • Portland, ME
  • NPI 1154674109

  Clinical

  Medicare reassignment NPD

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

{
    "created_epoch": "1350345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350345600000",
    "number": "1366795338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 OCEANSIDE DR",
            "city": "SACO",
            "state": "ME",
            "postal_code": "040721765",
            "telephone_number": "207-253-9435",
            "fax_number": "888-765-8406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 WOODFORD ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041035617",
            "telephone_number": "207-253-9435",
            "fax_number": "888-765-8406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOPER COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-16",
        "last_updated": "2012-10-16",
        "status": "A",
        "authorized_official_last_name": "KINGSTON",
        "authorized_official_first_name": "CARLA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "207-415-0055"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vicki L. Cook, NP-C
• Lisa Anne Cooke
• Stephanie Ann Cooke, RN IBCLC
• Katherine Cooleen
• Jessica Coolidge, CRNA
• Carly Elizabeth Cooper
• Jacob Charles Cooper, MD
• Kristopher Cooper, DMD, MD
• Michael Anthony Cooper, DO
• Thomas M Cooper, PHD

• Clinical Psychologist in Portland, ME
• Providers in Portland, ME by specialty
• Clinical Psychologist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2012; 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.