Brenda Sue Cooper, CDCA 168347

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

168347 Issued in OH

Practice address

546 Pearl St
Marion, OH 43302-4956

Phone

(740) 244-7680

NPI assigned

Jul 12, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1562889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562889600000",
    "number": "1508418211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "546 PEARL ST",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433024956",
            "telephone_number": "740-244-7680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "546 PEARL ST",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433024956",
            "telephone_number": "740-244-7680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "BRENDA",
        "middle_name": "SUE",
        "credential": "CDCA 168347",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-12",
        "last_updated": "2019-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "168347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Irene Conner, LCDC III
• Megan K Conniff, PA-C
• Shannon Christine Cook
• Sheri Lynn Cook, CDCA
• Amy J Cooper, NP
• Michael Douglas Cooper
• Danielle J. Copley
• Tyler Copp, PHARMD
• Todd Corbey, DO
• Emily Jean Corbin, LMT

• Professional Counselor in Marion, OH
• Providers in Marion, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2019; 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.