Individual provider Active NPI

Takesha Jenene Cooper, MD

  • Child & Adolescent Psychiatry Physician
  • Reno, NV
National Provider Identifier
1679794069
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
A88199 Issued in CA
Practice address
5190 Neil Rd Ste 215
Reno, NV 89502-6509
Phone
(775) 982-7800
NPI assigned
May 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A88199 CA
Child & Adolescent Psychiatry Physician 2084P0804X A88199 CA Primary

Addresses

Primary practice location

5190 Neil Rd Ste 215
Reno, NV 89502-6509

Mailing address

5190 Neil Rd Ste 215
Reno, NV 89502-6509
Phone (775) 982-7800

Other practice location 1

31946 Mission Trl
Suite B
Lake Elsinore, CA 92530-4539
Phone (951) 245-7663

Other identifiers 1

IdentifierTypeStateIssuer
00A881990MedicaidCA

Other names 1

  • Dr. Takesha Jenene Valentine Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231204001816 NV Practitioner - Psychiatry 2264481183

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Southern California Keck School of Medicine, 2003
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1155 Mill St
Msm14
Reno, NV 89502-1576

Merit-based Incentive Payment System (MIPS)

Final score
85.15 of 100Reported as group
Quality
79.09
Promoting interoperability
100
Improvement activities
40
Cost
71.43

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
88199CAMDClinical Social Worker
A88199CAMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Renown Medical School Associates North, Inc. CurrentSince Dec 1, 2023 Accepting new patients
Renown Medical School Associates North, Inc. Current Accepting new patients
Community Care Services LLC CurrentSince Mar 2, 2024 Accepting new patients
Community Care Services LLC CurrentSince Mar 2, 2024 Accepting new patients
Community Care Services LLC Current Accepting new patients

Locations

10315 Professional Cir
Reno, NV 89521
Phone (775) 982-5860

1155 Mill St
#14
Reno, NV 89502

1664 N Virginia St
Reno, NV 89557
Phone (775) 784-1110

5190 Neil Rd
Ste 215
Reno, NV 89502
Phone (775) 784-4917

85 Kirman Ave
Ste 200
Reno, NV 89502
Phone (775) 982-2862

85 Kirman Ave
Ste 101
Reno, NV 89502
Phone (775) 329-0222

Interoperability endpoints

  • Direct secure messaging: tcooper256934@direct.llu.edu
  • Direct secure messaging: tcooper199703@direct.renown.org

Organizations & group practices 5

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": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1679794069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5190 NEIL RD STE 215",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895026509",
            "telephone_number": "775-982-7800",
            "fax_number": "775-982-8043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5190 NEIL RD STE 215",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895026509",
            "telephone_number": "775-982-7800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31946 Mission Trl",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Lake Elsinore",
            "state": "CA",
            "postal_code": "925304539",
            "country_code": "US",
            "telephone_number": "951-245-7663",
            "fax_number": "951-674-6431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOPER",
        "first_name": "TAKESHA",
        "middle_name": "JENENE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A88199",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "A88199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A881990",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAKESHA",
            "last_name": "VALENTINE",
            "middle_name": "JENENE",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.