Individual provider Active NPI

Lynn D Cooper, PLMHP

  • Mental Health Counselor
  • Bassett, NE
National Provider Identifier
1689284374
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
12256 Issued in NE
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

Updated by the provider on Dec 20, 2023

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 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

LicenseStateTypeSpecialty
12256NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Country Clinic LLC Mental Health CurrentSince Oct 1, 2021 Accepting new patients
Fortitude Counseling Services, LLC Mental Health CurrentSince Dec 24, 2023 Accepting new patients
Sandhills Behavioral Services LLC Mental Health PastSince Oct 25, 2020 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.

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.

Verify at the official NPI Registry.