Kelly Cooper, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH61228753 Issued in WA

Practice address

591 Wildrose Cir
Lynden, WA 98264-9178

Phone

(830) 734-4000

NPI assigned

Jul 28, 2019

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Lynden Counseling Collective PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lynden, WA
  • NPI 1871252825
  NPD (past) Authorized official
• Shannon Counseling LLC

  • Mental Health Counselor
  • Lynden, WA
  • NPI 1144875204
  NPD (past)

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

{
    "created_epoch": "1564272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1851945943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "591 WILDROSE CIR",
            "city": "LYNDEN",
            "state": "WA",
            "postal_code": "982649178",
            "telephone_number": "830-734-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "591 WILDROSE CIR",
            "city": "LYNDEN",
            "state": "WA",
            "postal_code": "982649178",
            "telephone_number": "830-734-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "KELLY",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-28",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC60828608",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH61228753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christian Health Care Center
• City of Lynden
• Abigail Clarke
• Jenna Cochrane, MS MFT
• Colony House Furniture
• Kaytlynn Robin Ella Corey
• Jeanne Crabtree, LMP
• Lisa D Creighton
• Crestview Psychological Services, P.S.
• Kerri Cunningham

• Mental Health Counselor in Lynden, WA
• Providers in Lynden, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; 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.