Jacquelyn Marie Cooper, LADAC II

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

1730 Issued in TN

Practice address

1510 Stuart Rd NE Ste 101
Cleveland, TN 37312-5869

Phone

(423) 790-4906

NPI assigned

Jun 21, 2025

Sex

Unspecified or another gender identity

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

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.

• Heal and Hope Counseling Services LLC

  • Professional Counselor
  • Cleveland, TN
  • NPI 1649830423

  Addiction (Substance Use Disorder)

  NPD

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

{
    "created_epoch": "1750464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750464000000",
    "number": "1679460745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 FOREST RIDGE DR SW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373117321",
            "telephone_number": "423-599-2597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 STUART RD NE STE 101",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373125869",
            "telephone_number": "423-790-4906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "JACQUELYN",
        "middle_name": "MARIE",
        "credential": "LADAC II",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2025-06-21",
        "last_updated": "2025-06-21",
        "certification_date": "2025-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TN",
            "license": "1730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Shena Cook, RPH
• Margie Amanda Cook, FNP
• Cooke Food Store Inc (Cooke's Pharmacy)
• Mary A Cooke-Jones
• Alexandra Cooke, APRN
• Elizabeth Cope
• Lisa Cooper Copeland, MS CCC-SLP
• Alexander Gabriel Corey, DMD
• Kathryn Carson Corley, BEHAVIOR TECHNICIAN
• Katelyn Cornett, OTR/L

• Addiction (Substance Use Disorder) Counselor in Cleveland, TN
• Providers in Cleveland, TN by specialty
• Addiction (Substance Use Disorder) Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2025; 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.