Active NPI
Kathleen Jeanette Cooper, MA, LLPC, LLMFT
- Marriage & Family Therapist
- Kalamazoo, MI
National Provider Identifier
1477245843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 4151001091
- Practice address
- 5340 Holiday Ter Ste 13
Kalamazoo, MI 49009-2181 - Phone
- (269) 372-4140
- NPI assigned
- May 24, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 6451022828 | MI | |
| Marriage & Family Therapist | 106H00000X | 4151001091 | MI | Primary |
Addresses
Primary practice location
5340 Holiday Ter Ste 13
Kalamazoo, MI 49009-2181
Mailing address
3135 Edling Dr
Kalamazoo, MI 49004-1150
Phone (734) 559-3621
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6451022828 | MI | MD | Counselor |
| 4151001091 | MI | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684886400000",
"number": "1477245843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3135 EDLING DR",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490041150",
"telephone_number": "734-559-3621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5340 HOLIDAY TER STE 13",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490092181",
"telephone_number": "269-372-4140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER",
"first_name": "KATHLEEN",
"middle_name": "JEANETTE",
"credential": "MA, LLPC, LLMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-24",
"last_updated": "2023-05-24",
"certification_date": "2023-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": "MI",
"license": "6451022828",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MI",
"license": "4151001091",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.