STEFAN COOPER (NPI# 1053621003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053621003 |
| Entity Type | Individual |
| Full Name | STEFAN COOPER |
| Practice Address |
6950 Hillsdale Court Indianapolis IN 46250-2040 |
| Mailing Address |
8180 Clearvista Parkway Suite 230 Indianapolis IN 46256-4649 |
| Practice Telephone | 3176217740 |
| Practice Fax Number | 3176217608 |
| Enumeration Date | 2010-10-08 |
| Last Update Date | 2010-10-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | IN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100270530 | 05 |
| Street Address |
6950 HILLSDALE COURT |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46250-2040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871567917 | Jane Baskett Crouse | Social Worker | 6950 Hillsdale Court, Indianapolis, IN 46250 | 2006-02-15 |
| 1558671503 | Alexander Maina | Counselor | 6950 Hillsdale Court, Indianapolis, IN 46250-2040 | 2010-10-08 |
| 1861702813 | Amy Coleman | Counselor | 6950 Hillsdale Court, Indianapolis, IN 46250-2040 | 2010-10-08 |
| 1902116957 | Janet S Pottoroff | Social Worker | 6950 Hillsdale Court, Indianapolis, IN 46250-2040 | 2010-10-08 |
| 1225348279 | Tabatha Gibson | Counselor | 6950 Hillsdale Court, Indianapolis, IN 46250-2040 | 2010-10-08 |
| 1588974539 | Danielle M Clark Mcdonald | Counselor | 6950 Hillsdale Court, Indianapolis, IN 46250-2040 | 2010-10-08 |
| 1467787366 | Andrea Jenkins | Social Worker | 6950 Hillsdale Court, Indianapolis, IN 46250-2040 | 2009-10-09 |
| 1225156284 | Lisa Renee Pacheco | Counselor | 6950 Hillsdale Court, Indianapolis, IN 46250-2040 | 2007-03-27 |
| 1598860918 | Mary Ann Bangs | Clinical Nurse Specialist | 6950 Hillsdale Court, Indianapolis, IN 46250-2040 | 2006-09-13 |
| 1629010798 | Kimberly D Murray | Social Worker | 6950 Hillsdale Court, Indianapolis, IN 46250-2040 | 2006-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861037004 | Angela L Davis | Pharmacist | 8520 Bash St, Indianapolis, IN 46250 | 2019-11-12 |
| 1710455738 | Physicians Wellness Associates LLC | Family Medicine | 4735 Statesmen Drive, Suite C, Indianapolis, IN 46250 | 2018-11-07 |
| 1891222584 | Confidential Drug LLC | Pharmacy | 8520 Bash St Ste D, Indianapolis, IN 46250 | 2017-05-12 |
| 1659813590 | Occupational Health Centers of The Southwest Pa | Clinic/Center | 8257 Center Run Rd, Indianapolis, IN 46250 | 2016-11-09 |
| 1194275669 | Lucina Treatment Center, LLC | Internal Medicine | 8140 Castleton Rd, Indianapolis, IN 46250 | 2016-10-09 |
| 1609126150 | Joseph Lee Deck | Physical Therapist | 7400 Jewel Lane, Indianapolis, IN 46250 | 2012-09-12 |
| 1447508254 | Choices Coordinated Care Solutions, Inc. | Clinic/Center | 7941 Castleway Drive, Indianapolis, IN 46250 | 2012-08-28 |
| 1568719854 | Lynda L. Blackwelder, LLC | Marriage & Family Therapist | 4735 Statesmen Dr., Suite A, Indianapolis, IN 46250 | 2012-08-06 |
| 1972859452 | Courtney B. Cortez | Nurse Practitioner | 12400 N Meridian Ste 100, Suite 500, Indianapolis, IN 46250 | 2012-08-02 |
| 1861761934 | Kb Medical, Inc. | Durable Medical Equipment & Medical Supplies | 8455, Castlewood Drive, Suite J, Idianapolis, IN 46250 | 2011-12-20 |
| Find all providers in zip 46250 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366068181 | Vashni Ray | Counselor | 4346 Wild Turkey Dr, Indianapolis, IN 46239-8104 | 2020-06-17 |
| 1285250043 | Lajuan Brown | Counselor | 8752 Malaga Dr Apt 2b, Indianapolis, IN 46250-3297 | 2020-06-17 |
| 1518590132 | Kathryn Sullivan Evans | Counselor | 8126 Meadowbrook Dr, Indianapolis, IN 46240-2600 | 2020-02-21 |
| 1912530361 | Infinite Shield, LLC | Counselor | 5726 Michigan Rd, Indianapolis, IN 46228-1729 | 2020-02-13 |
| 1669002945 | Indiana Guide Right Foundation, Inc. | Counselor | 3540 Commercial Dr, Indianapolis, IN 46222-1678 | 2020-01-25 |
| 1881245603 | Mary Salem Gregory | Counselor | 1405 Wind Castle Trl, Indianapolis, IN 46280-2726 | 2019-09-23 |
| 1346700945 | Lindsay Kusy | Counselor | 1602 Guildhall Ct, Indianapolis, IN 46260-1562 | 2019-03-21 |
| 1679044531 | Denise Kasandra Hardin | Counselor | 5699 E 71st St Ste 4a, Indianapolis, IN 46220-3968 | 2018-12-17 |
| 1134604853 | Sarah M Lehman | Counselor | 1138 N Rochester Ave, Indianapolis, IN 46222-2943 | 2018-09-27 |
| 1629553516 | Brettany Ervin | Counselor | 115 N Pennsylvania St Unit 401, Indianapolis, IN 46204-2418 | 2018-09-26 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46250 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.