ANDREA COOPER MS, LCMHC
NPI 1144092073
Counselor - Mental Health in Jacksonville, NC

Active since October 24, 2023PECOS Enrolled
3886 HENDERSON DR, JACKSONVILLE, NC 28546(910) 938-9833 Get Directions Write a Review

NPPES record last updated: October 24, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Andrea Cooper Ms, Lcmhc NPPES

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

ANDREA COOPER MS, LCMHC (NPI 1144092073) is an individual mental health provider in Jacksonville, North Carolina, licensed in North Carolina (18705) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1144092073
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameANDREA COOPERCredential: MS, LCMHC
Location Address3886 HENDERSON DRJacksonville, NC 28546-5219
Mailing Address3886 Henderson DrJacksonville, NC 28546-5219 · (910) 938-9833 · Fax (910) 938-9835
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 24, 2023
Last NPPES UpdateOctober 24, 2025
NPPES CertifiedOctober 24, 2025
✔ NPI 1144092073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NC · 18705
3886 HENDERSON DR, Jacksonville, NC 28546

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)

Andrea Cooper Ms, Lcmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6103318761
PECOS Enrollment IDI20251121002723
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 Andrea Cooper reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community/Behavioral Health
110-B BRANCHWOOD DRIVE
Jacksonville, NC 28546
  • Reassigned Medicare billing, North Carolina enrollment
  • 48 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 20

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

Social Worker (Clinical)
3886 HENDERSON DR
JACKSONVILLE, NC 28546
Social Worker (Clinical)
3886 HENDERSON DR
JACKSONVILLE, NC 28546
Social Worker (Clinical)
3886 HENDERSON DR
JACKSONVILLE, NC 28546
Social Worker (Clinical)
3886 HENDERSON DR
JACKSONVILLE, NC 28546
Social Worker (Clinical)
3886 HENDERSON DR
JACKSONVILLE, NC 28546
Social Worker (Clinical)
3886 HENDERSON DR
JACKSONVILLE, NC 28546
Nurse Practitioner (Family)
3886 HENDERSON DR
JACKSONVILLE, NC 28546
Social Worker (Clinical)
3886 HENDERSON DR
JACKSONVILLE, NC 28546

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 Andrea Cooper's NPI number?

The NPI number for Andrea Cooper is 1144092073. It was assigned to this individual provider in the NPPES registry on October 24, 2023.

Where is Andrea Cooper located?

Andrea Cooper practices at 3886 Henderson Dr, Jacksonville, NC 28546. The listed phone number is (910) 938-9833.

What is Andrea Cooper's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Andrea Cooper enrolled in Medicare?

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

Which organization bills Medicare for Andrea Cooper's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Cooper reassigns Medicare benefits to Pride In North Carolina, LLC (Jacksonville, NC). 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 Andrea Cooper's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrea Cooper accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Andrea 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 Andrea Cooper was last updated on October 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.