- Practice location
- 3584 Jerome Ave, Bronx, NY 10467-1006
- Phone
- 718-653-1537
- Fax
- 718-882-1426
- Last updated
- March 13, 2009
Kerry Cooper is a Counselor, Addiction (Substance Use Disorder) based in Bronx, NY. Kerry Cooper practices in Bronx, NY and has the professional credentials of CASAC. The NPI Number for Kerry Cooper is 1710056726 and holds a License No. 12174 (NY). The current practice location address for Kerry Cooper is 3584 Jerome Ave, Bronx, NY 10467-1006 and can be reached out via phone at 718-653-1537 and via fax at 718-882-1426.
Provider Profile Details
- NPI Number
- 1710056726
- Provider Name
- Kerry Cooper
- Credential
- CASAC
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 3584 Jerome Ave, Bronx, NY 10467-1006
- Phone Number
- 718-653-1537
- Fax Number
- 718-882-1426
- Primary Taxonomy
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
- Sole Proprietor
- No
- Provider Enumeration Date
- November 6, 2006
- Last Update Date
- March 13, 2009
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 3584 Jerome Ave
Bronx, NY 10467-1006 - City
- Bronx
- State
- New York
- Zip
- 10467-1006
- Phone Number
- 718-653-1537
- Fax Number
- 718-882-1426
Provider Business Mailing Address Details
- Address
- Po Box 31094
Hartford, CT 06154-0001 - City
- Hartford
- State
- CT
- Zip
- 06154-0001
- Phone Number
- 518-952-8140
- Fax Number
- 518-952-8287
License Information
- License Number (1)
- 12174
- License State (1)
- NY
- Taxonomy (1)
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
- License State (2)
- NY
- Taxonomy (2)
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Counselor, Addiction (Substance Use Disorder) providers near Bronx, NY
View all Counselor, Addiction (Substance Use Disorder) providers in Bronx →- Jorge CuencaCounselor, Addiction (Substance Use Disorder) · NPI 1114182227
- Lydia Morales, CASACCounselor, Addiction (Substance Use Disorder) · NPI 1538324769
- Yardena Brickman, LMSWCounselor, Addiction (Substance Use Disorder) · NPI 1720210776
- Zuben R OrnelasCounselor, Addiction (Substance Use Disorder) · NPI 1639327539
Frequently Asked Questions
What is the NPI number of Mr. Kerry Cooper, CASAC?
The NPI number of Mr. Kerry Cooper, CASAC is 1710056726. It was assigned on November 6, 2006 and is currently active in the NPPES registry.
What is the specialty of Mr. Kerry Cooper, CASAC?
Mr. Kerry Cooper, CASAC is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in NY under license number 12174.
Where does Mr. Kerry Cooper, CASAC practice?
The practice location is 3584 Jerome Ave, Bronx, NY 10467-1006. The office can be reached at 718-653-1537 (phone) or 718-882-1426 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1710056726 directly on the NPPES registry website.