Active NPI
Amy Diane Cooper, M.A.
- Mental Health Counselor
- Burlington, VT
National Provider Identifier
1962453449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 047-0000635
- Practice address
- 3 Main St
Suite 107
Burlington, VT 05401-5216 - Phone
- (802) 651-7526
- Fax
- (802) 862-9158
- NPI assigned
- May 12, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 047-0000635 | VT | Primary |
Addresses
Primary practice location
3 Main St
Suite 107
Burlington, VT 05401-5216
Mailing address
3 Main St
Suite 107
Burlington, VT 05401-5216
Phone (802) 651-7526
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 105384 | Medicaid | VT |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 047-0000635 | VT | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1962453449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 MAIN ST",
"address_2": "SUITE 107",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "054015216",
"telephone_number": "802-651-7526",
"fax_number": "802-862-9158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 MAIN ST",
"address_2": "SUITE 107",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "054015216",
"telephone_number": "802-651-7526",
"fax_number": "802-862-9158"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER",
"first_name": "AMY",
"middle_name": "DIANE",
"name_prefix": "Ms.",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-12",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VT",
"license": "047-0000635",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "105384",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Burlington, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.