Individual provider Active NPI

Robyn Cooper

  • Mental Health Counselor
  • Hattiesburg, MS
National Provider Identifier
1740085125
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
2900 Jamestown Rd
Hattiesburg, MS 39402-2408
Phone
(601) 582-6655
NPI assigned
Feb 18, 2025
Last updated
Feb 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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 NU Primary

Addresses

Primary practice location

2900 Jamestown Rd
Hattiesburg, MS 39402-2408

Mailing address

209 N 23Rd Ave Apt C
Hattiesburg, MS 39401-5920

Other practice location 1

7941 Castleway Dr
Indianapolis, IN 46250-1953
Phone (601) 658-7939

Other practice location 2

604 Adeline St Ste B
Hattiesburg, MS 39401-3929
Phone (888) 799-5294

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

NPI Registry JSON

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

{
    "created_epoch": "1739836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1740085125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 N 23RD AVE APT C",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394015920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 JAMESTOWN RD",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394022408",
            "telephone_number": "601-582-6655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7941 Castleway Dr",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462501953",
            "country_code": "US",
            "telephone_number": "601-658-7939",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "604 Adeline St Ste B",
            "address_purpose": "LOCATION",
            "city": "Hattiesburg",
            "state": "MS",
            "postal_code": "394013929",
            "country_code": "US",
            "telephone_number": "888-799-5294",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOPER",
        "first_name": "ROBYN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-18",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hattiesburg, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.