Individual provider Active NPI

Steven Alexander Cooper, MS, PPS

  • Mental Health Counselor
  • Roseville, CA
National Provider Identifier
1679079776
Registry record updated Apr 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
333 Sunrise Ave Ste 701
Roseville, CA 95661-3483
Phone
(916) 783-5207
Fax
(916) 783-9145
NPI assigned
Apr 5, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

333 Sunrise Ave Ste 701
Roseville, CA 95661-3483

Mailing address

3316 Broken Branch CT Apt 160
Sacramento, CA 95834-1816
Phone (707) 853-3117

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20240313001497 CA Practitioner - Marriage and Family Therapist 2668818675 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Sierra Family Therapy Centers, Inc. CurrentSince Feb 28, 2024 Accepting new patients
Sud Specialty Group - Ca CurrentSince May 1, 2025 Accepting new patients

Locations

673 S Auburn St
Ste B
Grass Valley, CA 95945
Phone (530) 913-5054

5201 Great America Pkwy
Ste 320
Santa Clara, CA 95054
Phone (323) 968-6182

4633 Old Ironsides Dr
Ste 304
Santa Clara, CA 95054
Phone (501) 271-9428

520 Broadway
Ste 200
Santa Monica, CA 90401
Phone (949) 280-5295

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1522886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523923200000",
    "number": "1679079776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3316 BROKEN BRANCH CT APT 160",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958341816",
            "telephone_number": "707-853-3117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 SUNRISE AVE STE 701",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613483",
            "telephone_number": "916-783-5207",
            "fax_number": "916-783-9145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "STEVEN",
        "middle_name": "ALEXANDER",
        "name_prefix": "Mr.",
        "credential": "MS, PPS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-05",
        "last_updated": "2018-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

Verify at the official NPI Registry.