1. Home
  2. Directory
  3. Michigan
  4. Petoskey
  5. Peer Specialist
  6. NPI Profile

RYAN COOPER CCAR
NPI 1083471544
Peer Specialist in Petoskey, MI

Active since March 01, 2024
2236 E MITCHELL RD STE 5, PETOSKEY, MI 49770(313) 475-5112 Get Directions Write a Review

NPPES record last updated: March 1, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ryan Cooper Ccar NPPES

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

RYAN COOPER CCAR (NPI 1083471544) is an individual peer specialist in Petoskey, Michigan and active in the NPI registry since March 2024. He maintains 4 additional practice locations.

NPPES Registry Identity

NPI1083471544
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameRYAN COOPERCredential: CCAR
Location Address2236 E MITCHELL RD STE 5Petoskey, MI 49770-9604
Mailing Address704 Emmet StPetoskey, MI 49770-2910 · (231) 347-5511
Phone(313) 475-5112
Sole ProprietorNo
Enumeration DateMarch 1, 2024
NPPES CertifiedFebruary 29, 2024
✔ NPI 1083471544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
2236 E MITCHELL RD STE 5, Petoskey, MI 49770
Open in Google Maps ↗

Secondary Practice Locations 4

Location 1114 Rush StPetoskey, MI 49770-2920 · Phone (231) 347-5511
Location 2704 Emmet StPetoskey, MI 49770-2910 · Phone (231) 347-5511
Location 3118 rush streetPetoskey, MI 49770-2920 · Phone (231) 347-5511
Location 4520 N Main St Ste 202Cheboygan, MI 49721-1162 · Phone (231) 597-9234

Other Providers at the Same Location NPPES 2

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

MR. TIFFANY CATHERINE STAGE RN
Registered Nurse
2236 E MITCHELL RD STE 5
PETOSKEY, MI 49770
Emmet County (231) 347-9880
CHEYENNE JEPSEN
Home Health Aide
2236 E MITCHELL RD STE 5
PETOSKEY, MI 49770
Emmet County (231) 347-9880

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 Ryan Cooper's NPI number?

The NPI number for Ryan Cooper is 1083471544. It was assigned to this individual provider in the NPPES registry on March 1, 2024.

Where is Ryan Cooper located?

Ryan Cooper practices at 2236 E Mitchell Rd Ste 5, Petoskey, MI 49770. The listed phone number is (313) 475-5112.

What is Ryan Cooper's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Ryan Cooper was last updated on March 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.