Individual provider Active NPI

Candace Cooper, LPC

  • Professional Counselor
  • Louisville, KY
National Provider Identifier
1528615689
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
92347 Issued in TX
Practice address
451 Baxter Ave Ste 201
Louisville, KY 40204-1177
Phone
(502) 383-2969
NPI assigned
Aug 23, 2019
Last updated
Mar 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 245368 KY
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X 92347 TX Primary

Addresses

Primary practice location

451 Baxter Ave Ste 201
Louisville, KY 40204-1177

Mailing address

451 Baxter Ave
Louisville, KY 40204-1177
Phone (502) 383-2969

Other practice location 1

101 S Jennings Ave Ste 203
Fort Worth, TX 76104-1118
Phone (682) 282-4228

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • 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
I20231214001501 TX Practitioner - Mental Health Counselor 5496104564 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brave Health Medical Group, PAGroup PAC ID 9537586052, 93 clinicians

Practice addresses (Care Compare)

675 Town Square Blvd
Garland, TX 75040-2992
Phone (305) 579-9538

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
245368KYMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Brave Health Medical Group PA Mental Health CurrentSince Jul 5, 2025 Accepting new patients
North Texas Behavioral Health Authority Professional CurrentSince May 8, 2024 Accepting new patients
Family and Child Guidance Centers CurrentSince Jan 1, 2024 Accepting new patients
Family and Child Guidance Centers Mental Health CurrentSince Jan 1, 2024 Accepting new patients
Martin and Muir Counseling Inc PastSince Nov 24, 2025 Accepting new patients
North Texas Behavioral Health Authority Mental Health PastSince Apr 24, 2022 Accepting new patients

Locations

319 N 12th St
Corsicana, TX 75110
Phone (214) 515-4900

319 N 12th St
Ste 1
Corsicana, TX 75110
Phone (877) 872-1003

8111 Lyndon B Johnson Fwy
Ste 900
Dallas, TX 75251
Phone (214) 366-9407

8915 Harry Hines Blvd
Dallas, TX 75235
Phone (972) 548-9484

675 Town Square Blvd
Ste 200
Garland, TX 75040
Phone (305) 579-9538

108 N Washington St
Kaufman, TX 75142

108 W Grove St
Kaufman, TX 75142
Phone (214) 366-9407

120 W Main St
Ste 220
Mesquite, TX 75149
Phone (469) 397-8119

4031 W Plano Pkwy
Ste 211
Plano, TX 75093
Phone (972) 369-8990

1505 W Jefferson St
Ste 120
Waxahachie, TX 75165
Phone (972) 937-8309

Organizations & group practices 6

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": "1566518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773360000000",
    "number": "1528615689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 BAXTER AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402041177",
            "telephone_number": "502-383-2969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 BAXTER AVE STE 201",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402041177",
            "telephone_number": "502-383-2969"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 S Jennings Ave Ste 203",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761041118",
            "country_code": "US",
            "telephone_number": "682-282-4228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOPER",
        "first_name": "CANDACE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-23",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "245368",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "92347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.