Stacey Cooper, QBHP
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Fort Smith, AR
NPI 1932992575 · NPPES record last updated May 27, 2025
Key facts
- NPI
- 1932992575
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 3811 Rogers Ave
Fort Smith, AR 72903-3045 - Phone
- (479) 785-4083
- Fax
- (479) 434-6408
- NPI assigned
- May 27, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harbor House Incorporated of Fort Smith Arkansas | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes |
Addresses
Primary practice location
3811 Rogers Ave
Fort Smith, AR 72903-3045
Mailing address
620 S 21St St
Fort Smith, AR 72901-3915
Phone (479) 785-4083
Other providers in Fort Smith, AR
- Cooper Clinic, PA
- Colton Cooper
- Joseph Cooper
- Justin Michael Cooper
- Lindsey Nicole Cooper
- Suzan Cooper
- Tarah Cooper
- Beatriz Naoma Cope
- Ladonna Shae Copeland
- Nina Marie Copeland
All providers in Fort Smith, AR · Addiction (Substance Use Disorder) Counselor in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 27, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.