BRIAN COOPER (NPI# 1619394673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619394673 |
| Entity Type | Individual |
| Full Name | BRIAN COOPER |
| Practice Address |
1133 Coloma Way Ste C Roseville CA 95661-4480 |
| Mailing Address |
11885 Aspen Heights Ct Rancho Cordova CA 95742-8135 |
| Practice Telephone | 9167746647 |
| Mailing Telephone | 9167435434 |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2014-10-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780143255 | Brian Cooper | Behavioral Analyst | 211 42nd St Apt 2, Newport Beach, CA 92663-1501 | 2019-03-14 |
| 1285140186 | Brian Cooper | Social Worker | 510 Duxbury Ct Apt A, Safety Harbor, FL 34695-4316 | 2017-12-15 |
| 1194266627 | Brian Cooper I | Home Health Aide | 9008 Branchview Dr, Fort Washington, MD 20744 | 2017-03-16 |
| 1265772644 | Brian Cooper | Occupational Therapy Assistant | 1300 Nw 99th Ave, Pembroke Pines, FL 33024-4345 | 2013-02-22 |
| 1487918090 | Brian Cooper | Acupuncturist | 3516 S 9th St Unit E, Tacoma, WA 98405-2227 | 2012-06-28 |
| 1891833513 | Brian Daniel Cooper | Occupational Therapist | 22333 Blackburn St, Saint Clair Shores, MI 48080-1307 | 2007-02-02 |
| 1134286792 | Brian Cooper | Internal Medicine | 5243 Little Debbie Parkway, Suite 111, Ooltewah, TN 37363 | 2007-01-03 |
| 1073673166 | Brian Ezar Cooper | Emergency Medicine | Corner of Rt N7 and N12, Fort Defiance, AZ 86504-0649 | 2006-12-11 |
| 1033456181 | Brian Keith Cooper | Pharmacist | 1451 Sebastian Blvd, Sebastian, FL 32958-5166 | 2013-01-09 |
| 1801130794 | Brian David Cooper | Mechanotherapist | 7450 Heritage Village Plz, Suite 201, Gainesville, VA 20155-3090 | 2012-11-16 |
| Street Address |
1133 COLOMA WAY STE C |
| City | ROSEVILLE |
| State | CA |
| Zip Code | 95661-4480 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699822098 | Nationwide Medical Group, Inc | Clinic/Center | 1133 Coloma Way Ste C, Roseville, CA 95661-4480 | 2007-01-05 |
| 1952915076 | Anthony Souza | Counselor | 1133 Coloma Way Ste C, Roseville, CA 95661-4480 | 2020-09-04 |
| 1558985929 | Delora Wiley | Licensed Vocational Nurse | 1133 Coloma Way Ste C, Roseville, CA 95661-4480 | 2020-06-02 |
| 1043839590 | Tori Rooke | Counselor | 1133 Coloma Way Ste C, Roseville, CA 95661-4480 | 2020-04-15 |
| 1871127555 | Lizbeth Lopez | Licensed Vocational Nurse | 1133 Coloma Way Ste C, Roseville, CA 95661-4480 | 2020-03-02 |
| 1356988083 | Jennifer Aileen Gomez | Counselor | 1133 Coloma Way Ste C, Roseville, CA 95661-4480 | 2019-12-02 |
| 1871137695 | Andre Tedrell Benson | Licensed Vocational Nurse | 1133 Coloma Way Ste C, Roseville, CA 95661-4480 | 2019-11-05 |
| 1285286880 | Naesha Wells | Counselor | 1133 Coloma Way Ste C, Roseville, CA 95661-4480 | 2019-07-12 |
| 1801454970 | Carla A Ghamami | Counselor | 1133 Coloma Way Ste C, Roseville, CA 95661-4480 | 2019-06-03 |
| 1336707710 | Mey K Saelee | Counselor | 1133 Coloma Way Ste C, Roseville, CA 95661-4480 | 2019-05-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134777816 | Aprildawn Mccarty Mccarty | Behavior Technician | 2125 Professional Dr, 100, Roseville, CA 95661 | 2019-08-27 |
| 1407409089 | David Armel Gomez Croddy | Dentist | 2740 Carradale Drive, Roseville, CA 95661 | 2019-07-22 |
| 1699335612 | Mowell | Durable Medical Equipment & Medical Supplies | 901 Sunrise, Roseville, CA 95661 | 2019-06-20 |
| 1578024998 | Mystesia Lasan Hayes | Behavior Technician | 4121 Vittorio Dr., Roseville, CA 95661 | 2019-03-28 |
| 1033676457 | The Place Within | Counselor | 720 Sunrise Ave #d115, Roseville, CO 95661 | 2019-02-21 |
| 1396217733 | Tuyen Thi Thanh Nguyen | Respiratory Therapist, Registered | Kaiser Roseville Hospital, 1600 Eureka Rd, Roseville, CA 95661 | 2018-12-26 |
| 1982179776 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 1565 Eureka Road, Suite 5, Roseville, CA 95661 | 2018-10-08 |
| 1184106536 | Sabita Kondle | Marriage & Family Therapist | 1528 Hope Counseling Center Ste 101, Roseville, CA 95661 | 2018-09-02 |
| 1740787837 | Sylvia A Atieno | Nurse Practitioner | Suttter Roseville Medical Center, 1 Medical Plaza, Roseville, CA 95661 | 2018-04-06 |
| 1457875296 | Good Works Psychophysiology and Physical Therapy | Physical Therapist | 1650 Leadhill Blvd, 600, Roseville, CA 95661 | 2017-08-02 |
| Find all providers in zip 95661 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013575364 | William Henry Hoffman IIi | Counselor | 2467 Sheldon St, Roseville, MN 55113-3138 | 2019-06-02 |
| 1962987560 | Bradley Thomas Conley | Counselor | 2233 Hamline Ave N Ste 110, Roseville, MN 55113-5002 | 2018-09-28 |
| 1386156065 | Gina M Nunez | Counselor | 730 Sunrise Ave Ste 200-201, Roseville, CA 95661-4567 | 2017-11-02 |
| 1023540515 | Dawn New Awakening LLC | Counselor | 26316 Ronald St, Roseville, MI 48066-4458 | 2017-04-03 |
| 1962809699 | Michael Walsh Gannon | Counselor | 109 Cloud Touch Ct, Roseville, CA 95747-7116 | 2014-11-24 |
| 1700210218 | Ozlem Tekelioglu | Counselor | 1133 Coloma Way Suite C, Roseville, CA 95661 | 2013-09-03 |
| 1114369816 | Amanda Macmillan | Counselor | 101 Cirby Hills Drive, Roseville, CA 95678 | 2013-07-23 |
| 1316295082 | Pes-ebs.inc. | Counselor | 340 Lincoln St, Roseville, CA 95678-2230 | 2012-08-28 |
| 1871860890 | Raymond Richard Evans | Counselor | 2499 Rice Street, Roseville, MN 55113 | 2011-11-18 |
| 1023308079 | Jennica Rachel Jenkins | Counselor | 1899 E Roseville Pkwy Ste 140, Roseville, CA 95661-7980 | 2011-04-12 |
| Find all providers in ROSEVILLE | ||||
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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.