Tracy Irenette Cooper, LCAS A

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

15432 Issued in NC

Practice address

130 Jones Rd
Rocky Mount, NC 27804

Phone

(252) 443-0480

NPI assigned

May 22, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1526947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527811200000",
    "number": "1639660905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1261 KATHERINE TRL",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278049362",
            "telephone_number": "252-822-1243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 JONES RD",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "27804",
            "telephone_number": "252-443-0480"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1261 Katherine Trl",
            "address_purpose": "LOCATION",
            "city": "Rocky Mount",
            "state": "NC",
            "postal_code": "278049362",
            "country_code": "US",
            "telephone_number": "252-822-1243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOPER",
        "first_name": "TRACY",
        "middle_name": "IRENETTE",
        "name_prefix": "Mrs.",
        "credential": "LCAS A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-22",
        "last_updated": "2018-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "15432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Community Home Care and Hospice Johnston Inc
• Community Hospice Inc
• Comprehensive Mental Health, P.a.
• Megan Myrick Conner, CRNA
• Constant Care Home Care LLC
• Wanda Corbin-Robinson, LPC
• Margeaux Rose Corby
• Cornerstone Caregiving East LLC
• Keirstin Cotto, LCMHCA, LCAS, CSI
• County of Halifax

• Addiction (Substance Use Disorder) Counselor in Rocky Mount, NC
• Providers in Rocky Mount, NC by specialty
• Addiction (Substance Use Disorder) Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2018; 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.