Stacy Lynn Cooper McCleaf

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC010353 Issued in PA

Practice address

2880 N Baker Rd
York, PA 17408-9432

Phone

(717) 891-0254

NPI assigned

Oct 10, 2023

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

Other names 1

• Stacy Cooper Former name

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": "1696896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1528849213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2880 N BAKER RD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174089432",
            "telephone_number": "717-891-0254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2880 N BAKER RD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174089432",
            "telephone_number": "717-891-0254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER MCCLEAF",
        "first_name": "STACY",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-10",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC010353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACY",
            "last_name": "COOPER",
            "credential": "MA, ATR-BC, LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nathan Bruce Cooke, MS LAT ATC
• Tara Cooke, CRNP
• Tammie Cool, MSW, LCSW
• Michael Cooley, CRNP
• Emma Coomes, PHARM.D.
• Holly Cooper Thatcher, MA, LPC
• Lori S Cooper-Ott, M.ED, CAC
• Nicole Cooper, RN
• Shawn Cooper, DO
• Joshua Copeland

• Professional Counselor in York, PA
• Providers in York, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.

Verify at the official NPI Registry.