Individual provider Active NPI

Kathaleen Denise Cooley, MA, NCLPC BE.

  • Professional Counselor
  • Asheville, NC
National Provider Identifier
1376779397
Registry record updated Apr 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
247 Charlotte St Ste 209
Asheville, NC 28801-1553
Phone
(828) 782-5574
Fax
(844) 237-3958
NPI assigned
Jun 4, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NC Primary

Addresses

Primary practice location

247 Charlotte St Ste 209
Asheville, NC 28801-1553

Mailing address

247 Charlotte St Ste 209
Asheville, NC 28801-1553
Phone (828) 782-5574

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 28, 2024 through Mar 28, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
7394NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Quiet Mind Clear Path, PLLC Professional Current 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": "1244073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555977600000",
    "number": "1376779397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 CHARLOTTE ST STE 209",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288011553",
            "telephone_number": "828-782-5574",
            "fax_number": "844-237-3958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 CHARLOTTE ST STE 209",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288011553",
            "telephone_number": "828-782-5574",
            "fax_number": "844-237-3958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOLEY",
        "first_name": "KATHALEEN",
        "middle_name": "DENISE",
        "name_prefix": "Mrs.",
        "credential": "MA, NCLPC BE.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-04",
        "last_updated": "2019-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.