Active NPI
Susan Cooper, PH.D.
- Counseling Psychologist
- Monument, CO
National Provider Identifier
1972606788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- Practice address
- 16850 Buffalo Valley Path
Monument, CO 80132-7172 - Phone
- (719) 649-3520
- NPI assigned
- Sep 7, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | CO | Primary |
Addresses
Primary practice location
16850 Buffalo Valley Path
Monument, CO 80132-7172
Mailing address
16850 Buffalo Valley Path
Monument, CO 80132-7172
Phone (719) 649-3520
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210923001063 | CO | Practitioner - Clinical Psychologist | 9032412358 | Practice locations: Colorado Springs, CO |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 841186388 | CO | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972606788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16850 BUFFALO VALLEY PATH",
"city": "MONUMENT",
"state": "CO",
"postal_code": "801327172",
"telephone_number": "719-649-3520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16850 BUFFALO VALLEY PATH",
"city": "MONUMENT",
"state": "CO",
"postal_code": "801327172",
"telephone_number": "719-649-3520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER",
"first_name": "SUSAN",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "CO",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monument, CO
- Colorado Springs Senior Care, PLLC
- Colorado'S Network for Developmental Disabilities LLC
- Comfort Dental Oral Surgery Colorado Springs LLC
- Connect Counseling & Psychological Services, PLLC
- Constellation Counseling Services, LLC
- Tracey Coppock, LSW
- Laurie Anne Coryell, M.D.
- Jamie Cox
- Diane Craft, MA LPC
- Chelsea Cragin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.