MELISSA WILHELMINA COOPER AMFT
NPI 1164117461
Marriage & Family Therapist in Santa Monica, CA

Q: What is Melissa Cooper's NPI number?

The NPI number for Melissa Cooper is 1164117461. It was assigned to this individual provider in the NPPES registry on April 11, 2023.

Q: What is Melissa Cooper's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: Is Melissa Cooper enrolled in Medicare?

No. Melissa Cooper has opted out of Medicare through January 15, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Melissa Cooper was last updated on April 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since April 11, 2023Opted out of Medicare · through Jan 15, 2028

2716 OCEAN PARK BLVD STE 3075, SANTA MONICA, CA 90405(310) 612-2998(424) 600-7150 Get Directions Write a Review

NPPES record last updated: April 11, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Melissa Wilhelmina Cooper Amft NPPES

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

MELISSA WILHELMINA COOPER AMFT (NPI 1164117461) is an individual marriage & family therapist in Santa Monica, California, licensed in California (119772) and active in the NPI registry since April 2023. She has opted out of Medicare through January 15, 2028.

NPPES Registry Identity

NPI1164117461

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMELISSA WILHELMINA COOPERCredential: AMFT

Location Address2716 OCEAN PARK BLVD STE 3075Santa Monica, CA 90405-5232

Mailing Address2716 Ocean Park Blvd Ste 3075Santa Monica, CA 90405-5232 · (310) 612-2998 · Fax (424) 600-7150

Phone(310) 612-2998

Fax(424) 600-7150

Sole ProprietorYes

Enumeration DateApril 11, 2023

NPPES CertifiedApril 11, 2023

✔ NPI 1164117461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 119772

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

2716 OCEAN PARK BLVD STE 3075, Santa Monica, CA 90405

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Melissa Wilhelmina Cooper Amft has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 15, 2024 through January 15, 2028.

Opt-Out Effective DateJanuary 15, 2024

Opt-Out In Effect ThroughJanuary 15, 2028Opt-out affidavits renew automatically every two years unless cancelled

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.

AMIT ROZEN

Marriage & Family Therapist