Individual provider Active NPI

Tammy Cooper, LPC

  • Professional Counselor
  • Donaldsonville, LA
National Provider Identifier
1669816039
Registry record updated Apr 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4141 Issued in LA
Practice address
151 Evangeline Dr
Donaldsonville, LA 70346-4324
Phone
(985) 791-7995
NPI assigned
Apr 29, 2013
Last updated
Apr 29, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 4141 LA Primary

Addresses

Primary practice location

151 Evangeline Dr
Donaldsonville, LA 70346-4324

Mailing address

151 Evangeline Dr
Donaldsonville, LA 70346-4324

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260511003834 LA Practitioner - Mental Health Counselor 5799253456 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2003
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

151 Evangeline Dr
Donaldsonville, LA 70346-4324

206 Clinic Dr
Donaldsonville, LA 70346-4309

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4141LAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cross Over Therapy LLC Current Accepting new patients
Healthy Resolutions Inc Past Accepting new patients
CWT Behavioral Health Past Accepting new patients

Locations

206 Clinic Dr
Donaldsonville, LA 70346
Phone (225) 264-6670

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1367193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367193600000",
    "number": "1669816039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 EVANGELINE DR",
            "city": "DONALDSONVILLE",
            "state": "LA",
            "postal_code": "703464324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 EVANGELINE DR",
            "city": "DONALDSONVILLE",
            "state": "LA",
            "postal_code": "703464324",
            "telephone_number": "985-791-7995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "TAMMY",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-29",
        "last_updated": "2013-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "4141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Donaldsonville, LA

Sources for this page

Verify at the official NPI Registry.