Michael Cooper, MA, LPC
Individual provider Active NPI Professional Counselor · Shelby Township, MI
NPI 1508528340 · NPPES record last updated Jun 21, 2023
Key facts
- NPI
- 1508528340
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 6401223209 (MI)
- Practice address
- 1947 Jonathan Cir
Shelby Township, MI 48317-3821 - Phone
- (248) 931-8411
- NPI assigned
- Oct 8, 2021
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401223209 | MI | MD | Professional Counselor |
| 6451018945 | MI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeside Professional Counseling, P.C. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6451018945 | MI | |
| Professional Counselor | 101YP2500X | 6401223209 | MI | Yes |
Addresses
Primary practice location
1947 Jonathan Cir
Shelby Township, MI 48317-3821
Mailing address
1947 Jonathan Cir
Shelby Township, MI 48317-3821
Phone (248) 931-8411
Other providers in Shelby Township, MI
- Matthew John Clune
- Austin Collier
- Robin Conflitti
- Renee Conte
- Cook Chiropractic Clinic P C
- Kathleen Coppin
- Leslie Louise Corneau
- Cornerstone Counseling LLC
- Eric Corpus
- Jennifer Corrion
All providers in Shelby Township, MI · Professional Counselor in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 21, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.