DR. JENNIFER R COOPER (NPI# 1760409254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760409254 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER R COOPER |
| Credential | PHD |
| Practice Address |
833 Nw Buchanan Ave # 10 Corvallis OR 97330-6217 |
| Practice Telephone | 5417384433 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2007-11-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
PY00003510 | WA | Behavioral Health & Social Service Providers |
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
1835 | OR | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548879521 | Jennifer Cooper | Technician | 809 Quincy St, Parkersburg, WV 26101-4703 | 2020-07-27 |
| 1942838180 | Jennifer Cooper | Occupational Therapy Assistant | 228 Stutely Ln, Springfield, IL 62704-5234 | 2020-04-01 |
| 1861910176 | Jennifer Adella Cooper | Counselor | 4516 Oakberry Ct, Matthews, NC 28104-7744 | 2017-09-07 |
| 1275081374 | Jennifer Cooper | Occupational Therapy Assistant | 213 S Westgate Dr, Peotone, IL 60468-9808 | 2016-09-17 |
| 1265835896 | Jennifer Mcgrory Cooper | Psychologist | 100 Belpre Pl W, Westerville, OH 43081-1235 | 2014-09-26 |
| 1952703902 | Jennifer Cooper | Physical Therapy Assistant | 225 Custers Ridge Rd, Boones Mill, VA 24065-3694 | 2014-09-22 |
| 1295150001 | Jennifer M Cooper | Social Worker | 518 Terrace Ave, Toms River, NJ 08753-7734 | 2014-03-03 |
| 1063759231 | Jennifer Cooper | Counselor | 3500 Ne Mlk Blvd Ste 200, Portland, OR 97212-2093 | 2013-01-08 |
| 1194077842 | Jennifer Lauren Cooper | Speech-Language Pathologist | 225 E 63rd St Apt 3m, New York, NY 10065-0272 | 2012-10-04 |
| 1801163852 | Jennifer Cooper | Licensed Practical Nurse | 270 Westmar Dr, Rochester, NY 14624-2554 | 2011-11-18 |
| Street Address |
833 NW BUCHANAN AVE # 10 |
| City | CORVALLIS |
| State | OR |
| Zip Code | 97330-6217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235754912 | Miya Claborn | Counselor | 4495 Se Hwy 20, Corvallis, OR 97330 | 2020-06-09 |
| 1548889017 | Greydi Olvera | Counselor | Childrens Farm Home 4455 Ne Hwy 20, Corvallius, OR 97330 | 2020-04-14 |
| 1053953992 | Andie Marie Gaipo | Counselor | 4455 Ne Hwy 20 - Children's Farm Home, Corvallis, OR 97330 | 2019-10-11 |
| 1740847177 | Stephen Jack Eccles | Behavior Technician | Trillium Children's Farm Home, 4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-05-21 |
| 1750944815 | Tiffany Rene Flinchpaugh | Counselor | Children's Farm Home 4455 Hwy 20, Corvallis, OR 97330 | 2019-04-15 |
| 1679035455 | Isaiah Mile Cassidy | Counselor | Children's Farm Home-4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-04-02 |
| 1982168399 | Haylee Cramblit | Counselor | Children's Farm Home 4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-01-30 |
| 1457835365 | Ashley Alyn Couch | Counselor | 4455 Hwy 20 Corvallis 97330, Corvallis, OR 97330 | 2018-09-18 |
| 1104318898 | Megan Gerding | Technician, Other | 996 Nw Circle Blvd Suite 103, Corvallis, OR 97330 | 2018-05-30 |
| 1700377108 | Pacific Hearing Services | Audiologist | 975 Nw Spruce Ave, Suite #101, Corvallis, OR 97330 | 2018-05-22 |
| Find all providers in zip 97330 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154502631 | Jennifer R. Cooper, Phd, Psychological Services, LLC | Psychologist | 833 Nw Buchanan Ave Ste 10, Corvallis, OR 97330-6217 | 2007-11-26 |
| 1538215892 | Norman H Reed | Psychologist | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2007-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912530643 | Positive Development for Youth and Families, Inc. | Psychologist | 4531 Se Belmont St Ste 110, Portland, OR 97215-1675 | 2020-02-21 |
| 1467819631 | Megan Nichols | Psychologist | 2734 Se 29th Ave, Apt B, Portland, OR 97202-1381 | 2016-01-19 |
| 1699161745 | Nvw Newco | Psychologist | 160 Scalehouse Loop, Suite 160, Bend, OR 97702-1284 | 2015-04-15 |
| 1538412549 | Daniel Kriz | Psychologist | Ne 2542 Courtney Drive, Bend, OR 97701 | 2012-10-16 |
| 1891043360 | Margaret Arnold Stoeckel | Psychologist | 5041 Se Taylor St, Portland, OR 97215-2624 | 2012-08-15 |
| 1629305545 | Cynthia Marie Anderson | Psychologist | 2085 Sunrise Blvd, Eugene, OR 97405-5524 | 2009-11-13 |
| 1780815811 | Kristen Heather Marcaly | Psychologist | 14025 Sw Farmington Rd Ste 160, Beaverton, OR 97005 | 2009-08-06 |
| 1851532139 | Charlene Eickholt | Psychologist | 1405 Ne Broadway, Suite # 200, Portland, OR 97232-1497 | 2009-03-16 |
| 1497904924 | Ian Alexander Shinney | Psychologist | 2611 Erin Way, Eugene, OR 97408-4713 | 2008-09-09 |
| 1316092349 | Whitney Vail | Psychologist | 2450 Strong Rd Se, Salem, OR 97302-9676 | 2007-01-23 |
| Find all providers with the same taxonomy | ||||
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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.