Kristin Cooley

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.1500154-SUPV Issued in OH

Practice address

4015 Executive Park Dr Ste 320
Cincinnati, OH 45241-4015

Phone

(513) 563-0488

Fax

(513) 563-0428

NPI assigned

May 22, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Neuropsych Center of Greater Cincinnati LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cincinnati, OH
  • NPI 1164238150
  NPD
• Neuropsych Center of Greater Cincinnati LLC

  • Clinical Neuropsychologist
  • Cincinnati, OH
  • NPI 1801241237
  NPD
• Neuropsych Center of Greater Cincinnati

  • Clinical Psychologist
  • Fort Thomas, KY
  • NPI 1790222065
  NPD (past)

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

{
    "created_epoch": "1590105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590105600000",
    "number": "1982227161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4015 EXECUTIVE PARK DR STE 320",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452414015",
            "telephone_number": "513-563-0488",
            "fax_number": "513-563-0428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4015 EXECUTIVE PARK DR STE 320",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452414015",
            "telephone_number": "513-563-0488",
            "fax_number": "513-563-0428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOLEY",
        "first_name": "KRISTIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-22",
        "last_updated": "2020-05-22",
        "certification_date": "2020-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1500154-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cooke'S for Kid'S
• Cooke'S for Kid'S
• Cheryl Renee Cooks
• Keaton William Cooley-Rieders
• Ashley Cooley
• Raechel Cooley
• Steven Charles Cooley, MD
• Coomes Family Investments LLC
• Mary A Coon, R.N., C.R.N.A.
• Pamela Elaine Coon, LMT, NCTMB

• Clinical Social Worker in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2020; 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.

Verify at the official NPI Registry.