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COLIN GREGORY COOPER LPCC
NPI 1134896384
Counselor - Professional in Bloomington, MN

Active since August 25, 2021PECOS Enrolled
1101 E 78TH ST STE 100, BLOOMINGTON, MN 55420(952) 234-8604 Get Directions Write a Review

NPPES record last updated: March 13, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 13, 2025, Aug 25, 2021 (2 updates tracked since 2021).

About Colin Gregory Cooper Lpcc NPPES

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

COLIN GREGORY COOPER LPCC (NPI 1134896384) is an individual professional provider in Bloomington, Minnesota, licensed in Minnesota (4841) and active in the NPI registry since August 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1134896384
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameCOLIN GREGORY COOPERCredential: LPCC
Location Address1101 E 78TH ST STE 100Bloomington, MN 55420-1402
Mailing Address1900 Silver Lake Rd Nw Ste 110New Brighton, MN 55112-1789 · (651) 628-9566 · Fax (651) 628-0411
Phone(952) 234-8604
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 25, 2021
Last NPPES UpdateMarch 13, 20252 updates tracked since enumeration
NPPES CertifiedMarch 13, 2025
✔ NPI 1134896384 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 MN · 4841
1101 E 78TH ST STE 100, Bloomington, MN 55420
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Colin Gregory Cooper Lpcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9234651274
PECOS Enrollment IDI20250319000719
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 Colin Cooper reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Affinity Psychological Services, P.C.
4.6 mi
Mental Health
7401 METRO BLVD STE 250
Edina, MN 55439
  • Reassigned Medicare billing, Minnesota enrollment
  • Medicare enrollment name: Affinity Psychological Services PC
  • 136 clinicians in this Medicare group
NPI 1245610856 (612) 268-5858

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 20

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

AMANDA SCHMIDT
Counselor (Mental Health)
1101 E 78TH ST STE 100
BLOOMINGTON, MN 55420
Hennepin County (952) 854-5034
JESSICA BORDENAVE PSYD, LP
Psychologist (Clinical)
1101 E 78TH ST STE 100
BLOOMINGTON, MN 55420
Hennepin County (952) 854-5034
JOLENE STARK LADC
Counselor (Addiction (Substance Use Disorder))
1101 E 78TH ST STE 100
BLOOMINGTON, MN 55420
Hennepin County (952) 854-5034
MR. DAVID ALOIS PRASKA JR. MA, LMFT
Marriage & Family Therapist
1101 E 78TH ST STE 100
BLOOMINGTON, MN 55420
Hennepin County (952) 854-5034
JENNIFER BRIANNE TOTH MA, LPCC
Counselor (Mental Health)
1101 E 78TH ST STE 100
BLOOMINGTON, MN 55420
Hennepin County (952) 854-5034
CASSANDRA VOTAW LPC
Counselor
1101 E 78TH ST STE 100
BLOOMINGTON, MN 55420
Hennepin County (952) 854-5034
BRITTANI JOY SENSER LICSW
Social Worker (Clinical)
1101 E 78TH ST STE 100
BLOOMINGTON, MN 55420
Hennepin County (952) 854-4034
KIERSTEN BURROUGHS
Counselor (Mental Health)
1101 E 78TH ST STE 100
BLOOMINGTON, MN 55420
Hennepin County (952) 854-5034

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 Colin Cooper's NPI number?

The NPI number for Colin Cooper is 1134896384. It was assigned to this individual provider in the NPPES registry on August 25, 2021.

Where is Colin Cooper located?

Colin Cooper practices at 1101 E 78th St Ste 100, Bloomington, MN 55420. The listed phone number is (952) 234-8604.

What is Colin Cooper's specialty?

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

Is Colin Cooper enrolled in Medicare?

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

Which organization bills Medicare for Colin Cooper's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Colin Cooper reassigns Medicare benefits to Affinity Psychological Services, P.C. (Edina, MN). 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 Colin Cooper's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Colin Cooper was last updated on March 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.