Individual provider Active NPI

Alexandria Young Cooper, IMFT

  • Marriage & Family Therapist
  • Elyria, OH
National Provider Identifier
1457910143
Registry record updated Apr 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
F.2100159 Issued in OH
Practice address
312 3Rd St
Elyria, OH 44035-5618
Phone
(440) 323-5707
NPI assigned
Jun 6, 2019
Last updated
Apr 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X M0900009 OH
Marriage & Family Therapist 106H00000X F.2100159 OH Primary

Addresses

Primary practice location

312 3Rd St
Elyria, OH 44035-5618

Mailing address

17200 Valley Rd
Chagrin Falls, OH 44023-9183
Phone (614) 282-2823

Other practice location 1

2000 Lee Rd Unit 359
Cleveland Heights, OH 44118-2572
Phone (440) 745-7252

Other identifiers 1

IdentifierTypeStateIssuer
0352797MedicaidOH

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

State licenses

LicenseStateTypeSpecialty
F.2100159OHMDMarriage & Family Therapist
M0900009OHMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways Counseling and Growth Center PastSince Oct 28, 2016 Accepting new patients
Pathways Counseling and Growth Center Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/pathwayscounselingcenter/r4/

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.

NPI Registry JSON

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

{
    "created_epoch": "1559779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649635200000",
    "number": "1457910143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17200 VALLEY RD",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440239183",
            "telephone_number": "614-282-2823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 3RD ST",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440355618",
            "telephone_number": "440-323-5707"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 Lee Rd Unit 359",
            "address_purpose": "LOCATION",
            "city": "Cleveland Heights",
            "state": "OH",
            "postal_code": "441182572",
            "country_code": "US",
            "telephone_number": "440-745-7252",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOPER",
        "first_name": "ALEXANDRIA",
        "middle_name": "YOUNG",
        "credential": "IMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-06",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OH",
            "license": "M0900009",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OH",
            "license": "F.2100159",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0352797",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elyria, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2022; 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.