Christopher Cooper
Individual provider Active NPI Peer Specialist · Wickliffe, OH
NPI 1629883228 · NPPES record last updated Feb 11, 2025
Key facts
- NPI
- 1629883228
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Peer Specialist 175T00000X
- Practice address
- 29695 Robert St
Wickliffe, OH 44092-2215 - Phone
- (330) 888-2913
- NPI assigned
- Feb 11, 2025
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | Yes |
Addresses
Primary practice location
29695 Robert St
Wickliffe, OH 44092-2215
Mailing address
29695 Robert St
Wickliffe, OH 44092-2215
Phone (330) 888-2913
Other providers in Wickliffe, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 11, 2025. 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.