Tashara Cooper

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801101200 Issued in MI

Practice address

22777 Harper Ave Ste 207
Saint Clair Shores, MI 48080-1846

Phone

(947) 228-0060

NPI assigned

Nov 27, 2017

Last updated

Aug 11, 2025By the provider in NPPES

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)

Not enrolled

State licenses

Practice roles

Locations

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.

• Restorative Mental Wellness Center

  dba Mental Wellness Restored

  • Clinical Social Worker
  • Detroit, MI
  • NPI 1639900822
  NPD Authorized official
• Mental Wellness Restored

  • Clinical Social Worker
  • Saint Clair Shores, MI
  • NPI 1407407125
  Authorized official Same address or phone
• Assured Family Services

  • Adolescent and Children Mental Health Clinic/Center
  • Detroit, MI
  • NPI 1376057679
  NPD (past)

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

{
    "created_epoch": "1511740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1629582853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22777 HARPER AVE STE 207",
            "address_2": "PMB 2030",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480801846",
            "telephone_number": "248-579-5560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22777 HARPER AVE STE 207",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480801846",
            "telephone_number": "947-228-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "TASHARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-27",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801101200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Cook, LMSW
• Susan Coon
• Brian Daniel Cooper, OTR
• Crystal Cooper, MD
• Julie M Cooper, LMSW
• Jenna Cornwell
• Jessica Cottrell, LPC
• Kimberly Rose Coughlin, MD
• Counseling Concerns
• Jordan Courtney

• Clinical Social Worker in Saint Clair Shores, MI
• Providers in Saint Clair Shores, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; 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.