Luredia Cooper, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

8105 Issued in SC

Practice address

2193 Doris Dr Unit a
Charleston, SC 29414-6356

Phone

(612) 807-0436

NPI assigned

Mar 25, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in SC, MN2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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 Specialty Group PA

  • Mental Health Counselor
  • Durham, NC
  • NPI 1801472634

  MN, SC

  Medicare reassignment
• Empower Therapeutic Support Services PLLC

  • Marriage & Family Therapist
  • Minneapolis, MN
  • NPI 1679732887

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1711324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1831949700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2193 DORIS DR UNIT A",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294146356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2193 DORIS DR UNIT A",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294146356",
            "telephone_number": "612-807-0436"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "227 Colfax Ave N Ste 15",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554051409",
            "country_code": "US",
            "telephone_number": "612-223-0373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOPER",
        "first_name": "LUREDIA",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-25",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "4605",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "SC",
            "license": "8105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Cooper
• Christine Anne Cooper, M.D.
• Corey Wayne Cooper
• Kimsey Anne Cooper, PA-C
• Kristine Cooper, LISW-CP
• Madison Dail Cooper
• Michelle Cooper, ATC
• Samuel L Cooper, M.D.
• Tyrus Santeetlah Cooper, D.C.
• Mullen O Coover, D.D.S.

• All providers in Charleston, SC
• Marriage & Family Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.