Active NPI
Lynn D Cooper, PLMHP
- Mental Health Counselor
- Bassett, NE
National Provider Identifier
1689284374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 12256
- Practice address
- 407 S Clark
Bassett, NE 68714 - Phone
- (402) 684-2908
- Fax
- (402) 913-3454
- NPI assigned
- Aug 6, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 12256 | NE | Primary |
Addresses
Primary practice location
407 S Clark
Bassett, NE 68714
Mailing address
407 S Clark St
Bassett, NE 68714-6043
Phone (308) 440-9042
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12256 | NE | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Country Clinic LLC | Mental Health | Current | Accepting new patients |
| Fortitude Counseling Services, LLC | Mental Health | Current | Accepting new patients |
| Sandhills Behavioral Services LLC | Mental Health | Past | Accepting new patients |
Locations
124 W 46th St
Ste 110
Kearney, NE 68847
Phone (308) 440-9042
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 and National Provider Directory roles.
-
- Mental Health Counselor
- Kearney, NE
- NPI 1174397012
-
- Mental Health Counselor
- Bassett, NE
- NPI 1417155433
-
- Mental Health Counselor
- Ainsworth, NE
- NPI 1033646799
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703030400000",
"number": "1689284374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "407 S CLARK ST",
"city": "BASSETT",
"state": "NE",
"postal_code": "687146043",
"telephone_number": "308-440-9042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 S CLARK",
"city": "BASSETT",
"state": "NE",
"postal_code": "68714",
"telephone_number": "402-684-2908",
"fax_number": "402-913-3454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER",
"first_name": "LYNN",
"middle_name": "D",
"credential": "PLMHP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-06",
"last_updated": "2023-12-20",
"certification_date": "2023-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "12256",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bassett, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.