Active NPI
Michelle Latrice Cooper, MA CCC-SLP
- Speech-Language Pathologist
- Elgin, SC
National Provider Identifier
1407924459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 3368
- Practice address
- 318 Bluestem Dr
Elgin, SC 29045-2103 - Phone
- (803) 928-0369
- Fax
- (866) 524-1024
- NPI assigned
- Nov 30, 2006
- Last updated
- Oct 15, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 3368 | SC | Primary |
Addresses
Primary practice location
318 Bluestem Dr
Elgin, SC 29045-2103
Mailing address
PO Box 290115
Columbia, SC 29229-0002
Phone (803) 928-0369
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SA0518 | Medicaid | SC |
Other names 1
- Ms. Michelle Latrice Hook
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3368 | SC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Speech and Language Associates, LLC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697328000000",
"number": "1407924459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 290115",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292290002",
"telephone_number": "803-928-0369",
"fax_number": "866-524-1024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "318 BLUESTEM DR",
"city": "ELGIN",
"state": "SC",
"postal_code": "290452103",
"telephone_number": "803-928-0369",
"fax_number": "866-524-1024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER",
"first_name": "MICHELLE",
"middle_name": "LATRICE",
"name_prefix": "Ms.",
"credential": "MA CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-30",
"last_updated": "2023-10-15",
"certification_date": "2023-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "SC",
"license": "3368",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SA0518",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELLE",
"last_name": "HOOK",
"middle_name": "LATRICE",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Elgin, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2023; 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.