Active NPI
Jennah Lee Cooper, LMSW
- Clinical Social Worker
- Dexter, MI
National Provider Identifier
1407463987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801093421
- Practice address
- 7200 Dan Hoey Rd Ste G2
Dexter, MI 48130-4201 - Phone
- (734) 580-2920
- NPI assigned
- Sep 28, 2020
- Last updated
- Sep 28, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801093421 | MI | Primary |
Addresses
Primary practice location
7200 Dan Hoey Rd Ste G2
Dexter, MI 48130-4201
Mailing address
6770 Gregory Rd
Dexter, MI 48130-9697
Phone (205) 746-1238
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2820 Baker Rd
Suite 100
Dexter, MI 48130-1196
Phone (734) 580-2920
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peaceful Mind Counseling Services LLC | Current | Accepting new patients | |
| Sasco Dexter LLC | Past | Accepting new patients |
Locations
2820 Baker Rd
Ste 100
Dexter, MI 48130
Phone (734) 580-2920
7200 Dan Hoey Rd
Ste G2
Dexter, MI 48130
Phone (734) 580-2920
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Counselor
- Manchester, MI
- NPI 1265922074
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601251200000",
"number": "1407463987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6770 GREGORY RD",
"city": "DEXTER",
"state": "MI",
"postal_code": "481309697",
"telephone_number": "205-746-1238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7200 DAN HOEY RD STE G2",
"city": "DEXTER",
"state": "MI",
"postal_code": "481304201",
"telephone_number": "734-580-2920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER",
"first_name": "JENNAH",
"middle_name": "LEE",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-28",
"last_updated": "2020-09-28",
"certification_date": "2020-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801093421",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dexter, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.