Elizabeth Ann Cooper, BA, CT
Individual provider Active NPI Counselor · Lodi, OH
NPI 1619794419 · NPPES record last updated Sep 23, 2024
Key facts
- NPI
- 1619794419
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- C.2406098-TRNE (OH)
- Practice address
- 737 Bank St
Lodi, OH 44254-1025 - Phone
- (330) 636-1741
- Fax
- (330) 948-0880
- NPI assigned
- Sep 23, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C.2406098-TRNE | OH | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A New Day Lodi, LLC | Current |
Accepting new patients | |
| A New Day Lodi, LLC | Past |
Accepting new patients |
Locations
737 Bank St
Lodi, OH 44254
Phone (330) 636-1741
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | C.2406098-TRNE | OH | Yes |
Addresses
Primary practice location
737 Bank St
Lodi, OH 44254-1025
Mailing address
737 Bank St
Lodi, OH 44254-1025
Phone (330) 350-6234
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0184210 | Medicaid | OH |
Other providers in Lodi, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 23, 2024. 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.