KATHERINE COOLEY
NPI 1275209678
Counselor - Mental Health in Fort Wayne, IN
About Katherine Cooley NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHERINE COOLEY (NPI 1275209678) is an individual mental health provider in Fort Wayne, Indiana, licensed in Indiana (39003951A) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
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)
Katherine Cooley is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Katherine Cooley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fort Wayne, IN 46806
- Reassigned Medicare billing, Indiana enrollment
- 322 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 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Katherine Cooley's NPI number?
The NPI number for Katherine Cooley is 1275209678. It was assigned to this individual provider in the NPPES registry on August 17, 2021.
Where is Katherine Cooley located?
Katherine Cooley practices at 8211 W Jefferson Blvd, Fort Wayne, IN 46804. The listed phone number is (260) 442-6937.
What is Katherine Cooley's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Katherine Cooley enrolled in Medicare?
Yes. Katherine Cooley is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Katherine Cooley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Katherine Cooley reassigns Medicare benefits to Meridian Health Services Corp. (Fort Wayne, IN). 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 Katherine Cooley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Katherine Cooley accept?
Health plans from Anthem Blue Cross and Blue Shield, CareSource and Cigna Healthcare list Katherine Cooley 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 Katherine Cooley was last updated on August 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Katherine Cooley · NPI 1275209678
Mental Health provider in Fort Wayne, Indiana. Individual provider, active in the CMS NPPES registry since August 17, 2021.
## Identity
- **NPI:** 1275209678 (Entity type: Individual)
- **Enumerated:** August 17, 2021
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 39003951A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 8211 W JEFFERSON BLVD, Fort Wayne, IN 46804-4796
- **Phone:** (260) 442-6937
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Meridian Health Services Corp. (NPI 1760283881, Fort Wayne, IN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 17, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1275209678) · Data from the CMS NPPES public registry.