Mary Cooper, MA, NCC, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

P011389 Issued in PA

Practice address

130 W North St
New Castle, PA 16101

Phone

(724) 658-3578

NPI assigned

May 15, 2019

Sex

Female

Sole proprietor

No

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)

Enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1557878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557878400000",
    "number": "1578129565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 W NORTH ST",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161013906",
            "telephone_number": "724-658-3578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 W NORTH ST",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "16101",
            "telephone_number": "724-658-3578"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "720 Lawrence Ave",
            "address_purpose": "LOCATION",
            "city": "Ellwood City",
            "state": "PA",
            "postal_code": "161171960",
            "country_code": "US",
            "telephone_number": "724-658-3578 x179",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOPER",
        "first_name": "MARY",
        "credential": "MA, NCC, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-15",
        "last_updated": "2019-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "P011389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in New Castle, PA
• Providers in New Castle, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.