1. Home
  2. Directory
  3. Oklahoma
  4. Ardmore
  5. Counselor
  6. NPI Profile

MRS. AUTUMN MICHELLE COOPER MBS, LPC
NPI 1013059674
Counselor - Professional in Ardmore, OK

Active since February 12, 2007PECOS Enrolled
405 S WASHINGTON ST, ARDMORE, OK 73401(580) 223-9705(580) 223-8736 Get Directions Write a Review

NPPES record last updated: December 3, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mrs. Autumn Michelle Cooper Mbs, Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. AUTUMN MICHELLE COOPER MBS, LPC (NPI 1013059674) is an individual professional provider in Ardmore, Oklahoma, licensed in Oklahoma (3658) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1013059674
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. AUTUMN MICHELLE COOPERCredential: MBS, LPC
Location Address405 S WASHINGTON STArdmore, OK 73401-7044
Mailing Address405 S Washington StArdmore, OK 73401-7044 · (580) 223-9705
Phone(580) 223-9705
Fax(580) 223-8736
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateFebruary 12, 2007
Last NPPES UpdateDecember 3, 2012
✔ NPI 1013059674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in OK · 3658
405 S WASHINGTON ST, Ardmore, OK 73401
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Mending Health, Oscar Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Autumn Michelle Cooper Mbs, Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3779070149
PECOS Enrollment IDI20251017002901
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Autumn Cooper reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

South Central Medical And Resource Center Inc.
53 mi
Federally Qualified Health Center (FQHC)
216 S MAIN ST
Lindsay, OK 73052
  • Reassigned Medicare billing, Oklahoma enrollment
  • 20 clinicians in this Medicare group
NPI 1366585564 (405) 756-1414

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEBORAH FUNMILAYO WURAOLA CHW
Community Health Worker
405 S WASHINGTON ST
ARDMORE, OK 73401
Carter County (405) 738-7700
CYNTHIA S BAKER ARNP
Nurse Practitioner (Pediatrics)
405 S WASHINGTON ST
ARDMORE, OK 73401
Carter County (580) 223-9705
ROBIN COOPER CCC-SLP
Speech-Language Pathologist
405 S WASHINGTON ST
ARDMORE, OK 73401
Carter County (580) 223-9705

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Autumn Cooper's NPI number?

The NPI number for Autumn Cooper is 1013059674. It was assigned to this individual provider in the NPPES registry on February 12, 2007.

Where is Autumn Cooper located?

Autumn Cooper practices at 405 S Washington St, Ardmore, OK 73401. The listed phone number is (580) 223-9705.

What is Autumn Cooper's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Autumn Cooper enrolled in Medicare?

Yes. Autumn Cooper is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Autumn Cooper's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Autumn Cooper reassigns Medicare benefits to South Central Medical And Resource Center Inc. (Lindsay, OK). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Autumn Cooper's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Autumn Cooper accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Mending Health, Oscar Insurance Company and UnitedHealthcare list Autumn Cooper as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Autumn Cooper was last updated on December 3, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.