COOPER COUNSELING AND THERAPY SERVICES, PLLC
NPI 1265104434
Community/Behavioral Health in Charlotte, NC

Active since October 05, 2021
6047 TYVOLA GLEN CIR STE 211, CHARLOTTE, NC 28217(980) 900-9574(704) 780-1066 Get Directions Write a Review

NPPES record last updated: January 28, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 2, 2023, Oct 5, 2021 (2 updates tracked since 2021).

About Cooper Counseling And Therapy Services, Pllc NPPES

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

COOPER COUNSELING AND THERAPY SERVICES, PLLC (NPI 1265104434) is a healthcare organization registered as a community/behavioral health in Charlotte, North Carolina and active in the NPI registry since October 2021. The organization lists Carman Vatrell Cooper, Owner, as its authorized official.

NPPES Registry Identity

NPI1265104434
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameCOOPER COUNSELING AND THERAPY SERVICES, PLLC
Location Address6047 TYVOLA GLEN CIR STE 211Charlotte, NC 28217-6437
Mailing Address10109 Glenburn LnCharlotte, NC 28278-6001 · (980) 900-9574 · Fax (704) 780-1066
Fax(704) 780-1066
Organization SubpartNo
Authorized OfficialCarman Vatrell CooperOwner · (980) 900-9574
Enumeration DateOctober 5, 2021
Last NPPES UpdateJanuary 28, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 28, 2025
✔ NPI 1265104434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
6047 TYVOLA GLEN CIR STE 211, Charlotte, NC 28217

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cooper Counseling And Therapy Services, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Cooper Counseling And Therapy Services, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Social Worker
NPI 1972950400
6000 FAIRVIEW RD STE 1200
Charlotte, NC 28210
(980) 900-9574
✔ PECOS3.2 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Cooper Counseling And Therapy Services, PLLC's NPI number?

The NPI number for Cooper Counseling And Therapy Services, PLLC is 1265104434. It was assigned to this organization in the NPPES registry on October 5, 2021.

Where is Cooper Counseling And Therapy Services, PLLC located?

Cooper Counseling And Therapy Services, PLLC is located at 6047 Tyvola Glen Cir Ste 211, Charlotte, NC 28217. The listed phone number is (980) 900-9574.

What is Cooper Counseling And Therapy Services, PLLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is Cooper Counseling And Therapy Services, PLLC enrolled in Medicare?

Yes. Cooper Counseling And Therapy Services, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Cooper Counseling And Therapy Services, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Cooper Counseling And Therapy Services, PLLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Cooper Counseling And Therapy Services, PLLC accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina and Molina Healthcare list Cooper Counseling And Therapy Services, PLLC 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 Cooper Counseling And Therapy Services, PLLC was last updated on January 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.