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: July 26, 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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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.

When was this NPI record last updated?

The NPPES record for Katherine Cooper was last updated on June 18, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.