KATHERINE MARIE COOPER LCPC, LPCC
NPI 1053177808
Counselor - Professional in Edwardsville, IL

Active since February 27, 2024PECOS Enrolled
8124 STATE ROUTE 140, EDWARDSVILLE, IL 62025(567) 337-9937 Get Directions Write a Review

NPPES record last updated: June 18, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 26, 2026, Apr 21, 2026 (2 updates tracked since 2026).

About Katherine Marie Cooper Lcpc, Lpcc NPPES

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

KATHERINE MARIE COOPER LCPC, LPCC (NPI 1053177808) is an individual professional provider in Edwardsville, Illinois, licensed in Illinois (180.018151) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053177808
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKATHERINE MARIE COOPERCredential: LCPC, LPCC
Location Address8124 STATE ROUTE 140Edwardsville, IL 62025-6114
Mailing Address8124 State Route 140Edwardsville, IL 62025-6114 · (567) 337-9937
Sole ProprietorYes
Enumeration DateFebruary 27, 2024
Last NPPES UpdateJune 18, 20262 updates tracked since enumeration
NPPES CertifiedJune 18, 2026
✔ NPI 1053177808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in IL · 180.018151✔ Licensed in TX · 101500✔ Licensed in ID · 8321003✔ Licensed in OR · C11493✔ Licensed in ND · 1350-4-1-24-600
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 70080587 (WA)
8124 STATE ROUTE 140, Edwardsville, IL 62025

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katherine Marie Cooper Lcpc, Lpcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Katherine Cooper reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical
3025 TERRACE DR
Las Cruces, NM 88011
  • Reassigned Medicare billing, Idaho enrollment
  • 7 clinicians in this Medicare group

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

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

Counselor (Professional)
8124 STATE ROUTE 140
EDWARDSVILLE, IL 62025

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 Katherine Cooper's NPI number?

The NPI number for Katherine Cooper is 1053177808. It was assigned to this individual provider in the NPPES registry on February 27, 2024.

Where is Katherine Cooper located?

Katherine Cooper practices at 8124 State Route 140, Edwardsville, IL 62025. The listed phone number is (567) 337-9937.

What is Katherine Cooper's specialty?

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

Is Katherine Cooper enrolled in Medicare?

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

Which organization bills Medicare for Katherine Cooper's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katherine Cooper reassigns Medicare benefits to Deer Oaks Mental Health Associates PC (Las Cruces, NM). 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 Katherine Cooper's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Katherine Cooper accept?

Health plans from Blue Cross and Blue Shield of Texas, BridgeSpan Health Company, Cigna Healthcare, PacificSource Health Plans and Regence BlueCross BlueShield of Oregon and 1 other insurer list Katherine 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 Katherine Cooper was last updated on June 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.