KELLIE COOPER LLP
NPI 1316437205
Psychologist - Clinical in Dearborn, MI

Q: What is Kellie Cooper's NPI number?

The NPI number for Kellie Cooper is 1316437205. It was assigned to this individual provider in the NPPES registry on May 16, 2018. The provider is also known as Kellie Cooper-Secrest.

Q: What is Kellie Cooper's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Kellie Cooper was last updated on June 28, 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 May 16, 2018PECOS EnrolledAccepts Medicare Assignment

835 MASON ST STE B220, DEARBORN, MI 48124(313) 561-9064 Get Directions Write a Review

NPPES record last updated: June 28, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Kellie Cooper Llp NPPES

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

KELLIE COOPER LLP (NPI 1316437205) is an individual clinical provider in Dearborn, Michigan, licensed in Michigan (6301016322) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1316437205

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameKELLIE COOPERCredential: LLP

Location Address835 MASON ST STE B220Dearborn, MI 48124-2262

Mailing Address835 Mason St Ste B220Dearborn, MI 48124-2262

Phone(313) 561-9064

Sole ProprietorYes

Medical School CMSOtherGraduated 2024

Enumeration DateMay 16, 2018

Last NPPES UpdateJune 28, 2023

NPPES CertifiedJune 28, 2023

✔ NPI 1316437205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in MI · 6301016322

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

835 MASON ST STE B220, Dearborn, MI 48124

Open in Google Maps ↗

Other Names 1

Former Name (1)Kellie Cooper-secrest

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kellie Cooper Llp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1951812270

PECOS Enrollment IDI20250613003135

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48124 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$177.36 typical visit price

range $58.04 – $177.36

Typical copayment $44.34 (range $14.51 – $44.34)

Most-billed visit code 99205

Established Patient

$102.35 typical visit price

range $18.32 – $143.49

Typical copayment $25.58 (range $4.58 – $35.87)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

SARA PIERCE M.S., TLLP

Psychologist (Clinical)