Kristen Cooper

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC0000003822 Issued in TN

Practice address

1079 E Morris Blvd
Morristown, TN 37813-5901

Phone

(423) 318-7373

Fax

(423) 318-7474

NPI assigned

Sep 10, 2012

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

Other identifiers 1

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 and National Provider Directory roles.

• Camelot Care Centers, LLC

  • Community/Behavioral Health Agency
  • Nashville, TN
  • NPI 1831397645
  NPD

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

{
    "created_epoch": "1347235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583366400000",
    "number": "1649529330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1079 E MORRIS BLVD",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378135901",
            "telephone_number": "423-318-7373",
            "fax_number": "423-318-7474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1079 E MORRIS BLVD",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378135901",
            "telephone_number": "423-318-7373",
            "fax_number": "423-318-7474"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2971 Fort Henry Dr",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376644005",
            "country_code": "US",
            "telephone_number": "423-392-2975",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOPER",
        "first_name": "KRISTEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-10",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "LPC0000003822",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q029407",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Edward Conklin, PSYD
• Justin Connor I, PHARMD
• Jennifer Kathryn Cook, PHARM.D.
• Tiffney Cook
• Lashea Elizabeth Cooks, BSW
• Derek A Cooze, MD
• Lauren Ruth Cordle, PA-C
• Maria Corliss, LPN
• Angela Cornett, RN
• Covenant Dental, PLLC

• Professional Counselor in Morristown, TN
• Providers in Morristown, TN by specialty
• Professional Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2020; 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.