Alexandra Coogan, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

317 Issued in TN

Practice address

361 NE Franklin Ave BLDG E
Bend, OR 97701-4917

Phone

(541) 213-8230

NPI assigned

Mar 21, 2007

Last updated

Sep 20, 2019By the provider in NPPES

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 identifiers 3

Medicare fee-for-service enrollment

Enrolled in OR

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

Specialty

Marriage and Family Therapist

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568937600000",
    "number": "1598880924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2340",
            "city": "LA PINE",
            "state": "OR",
            "postal_code": "977392340",
            "telephone_number": "541-213-8230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 NE FRANKLIN AVE BLDG E",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014917",
            "telephone_number": "541-213-8230"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2510 Rohlfing Cir",
            "address_purpose": "LOCATION",
            "city": "LA Pine",
            "state": "OR",
            "postal_code": "977393451",
            "country_code": "US",
            "telephone_number": "423-620-8555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOGAN",
        "first_name": "ALEXANDRA",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2019-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TN",
            "license": "317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4113857",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR",
            "identifier": "611653100",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARITEN",
            "identifier": "702040099",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelsey Elizabeth Converse, MS, NCC, LPC, QMHP
• Elizabeth M Conway, LPC
• Emma Pearl Conway
• George A Conway, MD, MPH
• Patrick W Conway, QMHP
• Greta Rose Cook, RN, IBCLC
• Justin Cook, DC
• Lexie Cook
• Linda Cook, PTA
• Matthew S Cook, PA-C

• Marriage & Family Therapist in Bend, OR
• Providers in Bend, OR by specialty
• Marriage & Family Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.