Individual provider Active NPI

Ashley Celia Cooper, RMHCI

  • Mental Health Counselor
  • Greenacres, FL
National Provider Identifier
1467972026
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
IMH14190 Issued in FL
Practice address
6803 Lake Worth Rd # 215
Greenacres, FL 33467-2979
Phone
(786) 546-7255
NPI assigned
Jun 26, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X IMH14190 FL Primary

Addresses

Primary practice location

6803 Lake Worth Rd # 215
Greenacres, FL 33467-2979

Mailing address

3028 Verdmont LN
Wellington, FL 33414-3457
Phone (786) 546-7255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240725002085 FL Practitioner - Mental Health Counselor 1557733524 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
IMH14190FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Psywell, LLC Mental Health CurrentSince Jul 10, 2024 Accepting new patients

Locations

6803 Lake Worth Rd
#215
Greenacres, FL 33467
Phone (561) 207-7625

8401 Lake Worth Rd
#210
Lake Worth, FL 33467
Phone (561) 207-7625

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": "1498435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1467972026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3028 VERDMONT LN",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334143457",
            "telephone_number": "786-546-7255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6803 LAKE WORTH RD # 215",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334672979",
            "telephone_number": "786-546-7255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "ASHLEY",
        "middle_name": "CELIA",
        "name_prefix": "Ms.",
        "credential": "RMHCI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-26",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH14190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenacres, FL

Sources for this page

Verify at the official NPI Registry.