Natanya Cooper
Individual provider Active NPI Mental Health Counselor · South Holland, IL
NPI 1629655303 · NPPES record last updated Aug 24, 2026
Key facts
- NPI
- 1629655303
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 180018329 (IL)
- Practice address
- 16913 Ingleside Ave
South Holland, IL 60473-3064 - Phone
- (708) 752-0020
- NPI assigned
- Mar 27, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178013961 | IL | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 180018329 | IL | Yes |
| Professional Counselor | 101YP2500X | IL |
Addresses
Primary practice location
16913 Ingleside Ave
South Holland, IL 60473-3064
Mailing address
16913 Ingleside Ave
South Holland, IL 60473-3064
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891355376 | Other | PRIVATE INSURANCE |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Chicago |
Other providers in South Holland, IL
- Betsy Colvin
- Complete Home Health Services, Inc
- Carlos Concepcion
- Conscientious Incorporated
- Kristian Cook
- Christopher Corazzi
- Cornerstone Services, Inc
- Cornerstone Services, Inc
- Nicole Margaret Couri
- Crain Diagnostics PLLC
All providers in South Holland, IL · Mental Health Counselor in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 24, 2026. 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.