Daniel J Cooper, LPC, CAADC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC014605 Issued in PA

Practice address

100 Yearsley Mill Rd
Media, PA 19063-5593

Phone

(484) 227-1523

NPI assigned

Apr 9, 2021

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1617926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730592000000",
    "number": "1649850058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 YEARSLEY MILL RD",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190635593",
            "telephone_number": "484-227-1523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 YEARSLEY MILL RD",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190635593",
            "telephone_number": "484-227-1523"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "551 W Lancaster Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Haverford",
            "state": "PA",
            "postal_code": "190411419",
            "country_code": "US",
            "telephone_number": "610-892-3800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOPER",
        "first_name": "DANIEL",
        "middle_name": "J",
        "credential": "LPC, CAADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-09",
        "last_updated": "2024-11-03",
        "certification_date": "2024-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "PA",
            "license": "PC014605",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC014605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Constitution Health LLC
• Continence Solutions, LLC
• Danielle Convery
• Lynn A Cooke, MD
• Tara Parekh Cooney, NURSE PRACTITIONER
• Debra Cooper, LSW
• Erin Cooper
• Michael Cooper, DO
• Diamonds Alexus Laquay Copes, M.S.
• Patrick Corcoran

• Professional Counselor in Media, PA
• Providers in Media, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.