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ETHAN R COOPER LPC
NPI 1174789119
Counselor - Professional in Lynchburg, VA

Active since July 30, 2008PECOS Enrolled
2215 LANGHORNE RD, LYNCHBURG, VA 24501(434) 455-3044(434) 948-4918 Get Directions Write a Review

NPPES record last updated: July 30, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ethan R Cooper Lpc NPPES

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

ETHAN R COOPER LPC (NPI 1174789119) is an individual professional provider in Lynchburg, Virginia, licensed in Virginia (0701004381) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174789119
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameETHAN R COOPERCredential: LPC
Location Address2215 LANGHORNE RDLynchburg, VA 24501-1121
Mailing Address2215 Langhorne RdLynchburg, VA 24501-1121 · (434) 455-3044 · Fax (434) 948-4918
Phone(434) 455-3044
Fax(434) 948-4918
Sole ProprietorNo
Enumeration DateJuly 30, 2008
✔ NPI 1174789119 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 VA · 0701004381
2215 LANGHORNE RD, Lynchburg, VA 24501
Open in Google Maps ↗

Other Identifiers 1

Medicaid1871542340VA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ethan R Cooper Lpc 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.

Medicare Billing Reassignment

Medicare enrollment records show Ethan Cooper reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Horizon Behavioral Health
Same address
Community/Behavioral Health
2215 LANGHORNE RD
Lynchburg, VA 24501
  • Reassigned Medicare billing, Virginia enrollment
  • 66 clinicians in this Medicare group
NPI 1871542340 (434) 948-4831

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.

JUDITH R HEDRICK LCSW
Social Worker (Clinical)
2215 LANGHORNE RD, SUITE 104
LYNCHBURG, VA 24501
Campbell County (434) 455-3047
MARY E HART LPC
Counselor (Professional)
2215 LANGHORNE RD, SUITE 104
LYNCHBURG, VA 24501
Campbell County (434) 455-3047
JUSTIN KOLAYA LCSW
Social Worker (Clinical)
2215 LANGHORNE RD
LYNCHBURG, VA 24501
Campbell County (434) 948-4831
CHERICE TYRHONDA PEAGLER LPC
Counselor (Professional)
2215 LANGHORNE RD
LYNCHBURG, VA 24501
Campbell County (434) 948-4831
MS. MARTHA ANN GUNTER LPC
Counselor (Professional)
2215 LANGHORNE RD
LYNCHBURG, VA 24501
Campbell County (434) 948-4831
SILA KAMOLMATAYAKUL LPC
Counselor (Professional)
2215 LANGHORNE RD
LYNCHBURG, VA 24501
Campbell County (434) 948-4831
MARIANNE POWELL LPC
Counselor (Professional)
2215 LANGHORNE RD
LYNCHBURG, VA 24501
Campbell County (434) 948-4831
JANE E. PITTS LPC
Counselor (Professional)
2215 LANGHORNE RD, SUITE 104
LYNCHBURG, VA 24501
Campbell County (434) 455-3045

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 Ethan Cooper's NPI number?

The NPI number for Ethan Cooper is 1174789119. It was assigned to this individual provider in the NPPES registry on July 30, 2008.

Where is Ethan Cooper located?

Ethan Cooper practices at 2215 Langhorne Rd, Lynchburg, VA 24501. The listed phone number is (434) 455-3044.

What is Ethan Cooper's specialty?

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

Is Ethan Cooper enrolled in Medicare?

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

Which organization bills Medicare for Ethan Cooper's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ethan Cooper reassigns Medicare benefits to Horizon Behavioral Health (Lynchburg, VA). 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 Ethan 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 Ethan Cooper was last updated on July 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.