Organization Active NPI

Kathryn Cooper

  • Community/Behavioral Health Agency
  • Naples, FL
National Provider Identifier
1891250114
Registry record updated Feb 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
KATHRYN COOPER
Doing business as
Creation Counseling and Coaching LLC
Practice address
669 Hadley St E
Naples, FL 34104-0881
Phone
(239) 404-6649
NPI assigned
Feb 1, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2019

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

Authorized official

Name
Kathryn M CooperNPI 1235354671
Title
Owner, Sole Member of LLC
Phone
(239) 404-6649

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

669 Hadley St E
Naples, FL 34104-0881

Mailing address

669 Hadley St E
Naples, FL 34104-0881
Phone (239) 404-6649

Other practice location 1

8660 Daniels Pkwy
Fort Myers, FL 33912-0819
Phone (239) 404-6649

Other practice location 2

26677 Saville Ave
Bonita Springs, FL 34135-6319
Phone (239) 404-6649

Other names 1

  • Creation Counseling and Coaching LLC Doing business as

National Provider Directory

National Provider Directory

Locations

8660 Daniels Pkwy
Fort Myers, FL 33912
Phone (239) 404-6649

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1548979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548979200000",
    "number": "1891250114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "669 HADLEY ST E",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341040881",
            "telephone_number": "239-404-6649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "669 HADLEY ST E",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341040881",
            "telephone_number": "239-404-6649"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8660 Daniels Pkwy",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339120819",
            "country_code": "US",
            "telephone_number": "239-404-6649",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26677 Saville Ave",
            "address_purpose": "LOCATION",
            "city": "Bonita Springs",
            "state": "FL",
            "postal_code": "341356319",
            "country_code": "US",
            "telephone_number": "239-404-6649",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KATHRYN COOPER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-01",
        "last_updated": "2019-02-01",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER, SOLE MEMBER OF LLC",
        "authorized_official_telephone_number": "239-404-6649"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Creation Counseling and Coaching LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2019; 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.