Cooper Fellowship Inc.

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

300029AN Issued in CA

Legal business name

COOPER FELLOWSHIP INC.

Practice address

409 N Cooper St
Santa Ana, CA 92703-2409

Phone

(714) 554-1152

NPI assigned

Nov 3, 2006

Organization subpart

No

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

Authorized official

Name

Bernard Barnes

Title

Program Director

Phone

(714) 554-1152

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Brady

  • Addiction (Substance Use Disorder) Counselor
  • Santa Ana, CA
  • NPI 1538667589
  NPD (past)
• Desiree D Williams

  • Addiction (Substance Use Disorder) Counselor
  • Santa Ana, CA
  • NPI 1457853004
  NPD (past)

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689753139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 N COOPER ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927032409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 N COOPER ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927032409",
            "telephone_number": "714-554-1152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOPER FELLOWSHIP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "714-554-1152"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "300029AN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emmett Eugene Cook II
• Nancy H. Cook, M.S.W.
• Johnnie Sue Cooley, LCSW
• Jeffery Coon, DMD
• Maria Isabel Coontz
• Stanley Cooper
• Nathan Isaiah Coppersmith
• Brianna Elia Coque, MSW, LCSW
• Pio Carmelo Bernardo Coquia III, RN
• Jennifer Michelle Corbin, LPCC

• Substance Abuse Rehabilitation Facility in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.