KELLY ANNE COOPER (NPI# 1114411915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114411915 |
| Entity Type | Individual |
| Full Name | KELLY ANNE COOPER |
| Practice Address |
5284 Adolfo Rd Ste 100 Camarillo CA 93012-6790 |
| Practice Telephone | 8052890120 |
| Enumeration Date | 2018-06-15 |
| Last Update Date | 2018-06-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | ASPIRA | 101YM0800X | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396133641 | Kelly Cooper | Physical Therapy Assistant | 3200 North Elm Street, Greensboro, NC 27408 | 2015-01-08 |
| 1881992741 | Kelly Frances Cooper | Massage Therapist | 3324 W University Ave # 344, Gainesville, FL 32607-2540 | 2011-03-02 |
| 1265763098 | Kelly Marie Cooper | Massage Therapist | 25 Quail Hollow Rd, Fairview, NC 28730-8505 | 2010-01-19 |
| 1124628300 | Kelly M Cooper | Optometrist | 210 Marlboro Ave Ste 31, Easton, MD 21601-2767 | 2020-10-28 |
| 1255979787 | Kelly Cooper | Speech-Language Pathologist | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2019-12-16 |
| 1851945943 | Kelly Cooper | Counselor | 506 Grover St Ste 112, Lynden, WA 98264-1960 | 2019-07-28 |
| 1871063792 | Kelly Cooper | Counselor | 1455 Dixon Ave, Lafayette, CO 80026-8879 | 2018-12-04 |
| 1316468820 | Kelly Ann Cooper | Nurse Practitioner | 401 E Chestnut St Unit 310, Louisville, KY 40202-5703 | 2017-07-06 |
| 1386191252 | Kelly Cooper | Dentist | 221 3rd St W Bldg 1040, Jbsa Randolph, TX 78150-4800 | 2016-09-07 |
| 1174945141 | Kelly A Cooper | Case Manager/Care Coordinator | 200 E Frazier Ave, Columbia, KY 42728-1915 | 2014-01-10 |
| Street Address |
5284 ADOLFO RD STE 100 |
| City | CAMARILLO |
| State | CA |
| Zip Code | 93012-6790 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841504594 | Dee Ann Rae Meichelbock | Marriage & Family Therapist | 5284 Adolfo Rd Ste 100, Camarillo, CA 93012-6790 | 2010-08-04 |
| 1871191973 | Jenna Nevitt | Social Worker | 5284 Adolfo Rd Ste 100, Camarillo, CA 93012-6790 | 2020-10-12 |
| 1720692296 | Elise Michele Baumann | Marriage & Family Therapist | 5284 Adolfo Rd Ste 100, Camarillo, CA 93012-6790 | 2020-09-02 |
| 1467065649 | Rebeka Kolevski | Counselor | 5284 Adolfo Rd Ste 100, Camarillo, CA 93012-6790 | 2020-08-26 |
| 1083227268 | Daniella Pina | Counselor | 5284 Adolfo Rd Ste 100, Camarillo, CA 93012-6790 | 2020-08-26 |
| 1700499985 | Mayra A Cabrera | Counselor | 5284 Adolfo Rd Ste 100, Camarillo, CA 93012-6790 | 2020-08-26 |
| 1710503180 | Cindy Michelle Alvarenga | Counselor | 5284 Adolfo Rd Ste 100, Camarillo, CA 93012-6790 | 2020-06-22 |
| 1265058614 | Erika Mendez | Counselor | 5284 Adolfo Rd Ste 100, Camarillo, CA 93012-6790 | 2020-06-22 |
| 1922622182 | Lisa Segura | Counselor | 5284 Adolfo Rd Ste 100, Camarillo, CA 93012-6790 | 2020-06-03 |
| 1417576828 | Maria Belaustegui | Counselor | 5284 Adolfo Rd Ste 100, Camarillo, CA 93012-6790 | 2020-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992322895 | Natasha Nichole Johnson | Licensed Vocational Nurse | 1750 A S Lewis Rs, Camarillo, CA 93012 | 2020-06-26 |
| 1609392604 | Dain Emmanuel Acevedo | Counselor | 5284 Adolfo Road Suite 100, Camarillo, CA 93012 | 2017-08-21 |
| 1679093751 | Emily Sophia Rodriguez | Counselor | 5284 Adolfo Rd. Suite 100, Camarillo, CA 93012 | 2017-06-21 |
| 1164952750 | Valerie Marie Inez Rivera | Counselor | 5284 Adolfo Rd #100, Camarillo, CA 93012 | 2017-06-15 |
| 1457890709 | Constance Walsh | Prosthetic/Orthotic Supplier | 795 Camarillo Springs Rd, Suite C, Carmarillo, CA 93012 | 2017-02-20 |
| 1902349020 | Ferdinand Fortune Cuico | Registered Nurse | 421 Brister Park Ct, Camarillo, CA 93012 | 2016-11-21 |
| 1699226795 | Lauren Streiter | Counselor | 1750b S Lewis Rd, Camarillo, CA 93012 | 2016-10-24 |
| 1972955649 | Evolve Growth Initiatives, LLC | Community Based Residential Treatment Facility, Mental Illness | 799 Camarillo Springs Road, Ventura, CA 93012 | 2016-07-06 |
| 1083075089 | Justin Rodriguez Urbano | Dental Hygienist | 4422 Corte Arbusto, Camarillo, CA 93012 | 2016-03-18 |
| 1578924619 | Leslie Winn | Counselor | 291 Camino Leon, Camarillo, CA 93012 | 2016-03-17 |
| Find all providers in zip 93012 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184239394 | Desiree Butler | Counselor | 975 Flynn Rd # 8704, Camarillo, CA 93012-8704 | 2020-09-14 |
| 1023573284 | Anthony Omar Thompson | Counselor | 954 Gracia St, Camarillo, CA 93010-3940 | 2019-02-01 |
| 1073081741 | Tyler Briann Aliano-kirksey | Counselor | 2009 Las Estrellas Ct, Camarillo, CA 93012-4070 | 2018-11-11 |
| 1174098651 | Tatianna Kraft | Counselor | 4243 Vincente Ave, Camarillo, CA 93010 | 2018-10-10 |
| 1750860730 | Gina P. Martinez | Counselor | 5284 Adolfo Rd # Sweet100, Camarillo, CA 93012-6787 | 2018-08-09 |
| 1942794326 | Raymundo Cervantes | Counselor | 153 Ripley St, Camarillo, CA 93010-2617 | 2018-06-19 |
| 1609392604 | Dain Emmanuel Acevedo | Counselor | 5284 Adolfo Road Suite 100, Camarillo, CA 93012 | 2017-08-21 |
| 1679093751 | Emily Sophia Rodriguez | Counselor | 5284 Adolfo Rd. Suite 100, Camarillo, CA 93012 | 2017-06-21 |
| 1164952750 | Valerie Marie Inez Rivera | Counselor | 5284 Adolfo Rd #100, Camarillo, CA 93012 | 2017-06-15 |
| 1326574211 | Sintya Liseth Herrera Rodriguez | Counselor | 5284 Adolfo Rd Ste 200, Camarillo, CA 93012-6788 | 2017-05-11 |
| Find all providers in CAMARILLO | ||||
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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.