Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DUSTIN COOLEY
NPI 1316461262
Social Worker - Clinical in Delaware, OH

Active since August 02, 2017PECOS EnrolledAccepts Medicare Assignment
1 W WINTER ST STE 200, DELAWARE, OH 43015(833) 351-8255 Get Directions Write a Review

NPPES record last updated: September 1, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 1, 2026, Feb 21, 2022, Aug 2, 2017 (3 updates tracked since 2017).

About Dustin Cooley NPPES

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

DUSTIN COOLEY (NPI 1316461262) is an individual clinical provider in Delaware, Ohio, licensed in Ohio (I.2002333) and active in the NPI registry since August 2017. He is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Ohio University, College Of Osteopathic Medicine (2016).

NPPES Registry Identity

NPI1316461262
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameDUSTIN COOLEY
Location Address1 W WINTER ST STE 200Delaware, OH 43015-4635
Mailing AddressPo Box 24449New York, NY 10087-0589 · (833) 351-8255
Sole ProprietorNo
Medical School CMSOhio University, College Of Osteopathic MedicineGraduated 2016
Enumeration DateAugust 2, 2017
Last NPPES UpdateSeptember 1, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2026
✔ NPI 1316461262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in OH · I.2002333✔ Licensed in IN · 34012744A✔ Licensed in PA · CW027006
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1 W WINTER ST STE 200, Delaware, OH 43015

Secondary Practice Locations 4

Location 1631 East St. StreetGeorgetown, OH 45121-1437 · Phone (937) 378-6387 · Fax (937) 378-4253
Location 2680 American Ave Ste 301King Of Prussia, PA 19406-4023 · Phone (833) 351-8255
Location 3550 Congressional Blvd Ste 115Carmel, IN 46032-5644 · Phone (833) 351-8255
Location 4218 Stern RdSeaman, OH 45679-9607 · Phone (133) 861-3795 · Fax (937) 386-0129

Other Identifiers 1

Medicaid0273142OH

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dustin Cooley 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 ID9436563764
PECOS Enrollment IDI20210128001339
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 Dustin Cooley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychiatry
1301 RIVERPLACE BLVD STE 800
Jacksonville, FL 32207
  • Reassigned Medicare billing, Ohio enrollment
  • 72 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43015 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
$0.00 typical visit price
range $54.34 – $166.65
Typical copayment $0.00 (range $13.58 – $41.66)
Most-billed visit code NA
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
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.

Psychiatry & Neurology (Psychiatry)
1 W WINTER ST STE 200
DELAWARE, OH 43015
Nurse Practitioner (Psychiatric/Mental Health)
1 W WINTER ST STE 200
DELAWARE, OH 43015
Nurse Practitioner (Psychiatric/Mental Health)
1 W WINTER ST STE 200
DELAWARE, OH 43015
Psychiatry & Neurology (Psychiatry)
1 W WINTER ST STE 200
DELAWARE, OH 43015
Social Worker (Clinical)
1 W WINTER ST STE 200
DELAWARE, OH 43015
Psychiatry & Neurology (Psychiatry)
1 W WINTER ST STE 200
DELAWARE, OH 43015
Psychiatry & Neurology (Psychiatry)
1 W WINTER ST STE 200
DELAWARE, OH 43015
Psychiatry & Neurology (Psychiatry)
1 W WINTER ST STE 200, PRIVATE OFFICE 418
DELAWARE, OH 43015

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 Dustin Cooley's NPI number?

The NPI number for Dustin Cooley is 1316461262. It was assigned to this individual provider in the NPPES registry on August 2, 2017.

Where is Dustin Cooley located?

Dustin Cooley practices at 1 W Winter St Ste 200, Delaware, OH 43015. The listed phone number is (833) 351-8255.

What is Dustin Cooley's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Dustin Cooley enrolled in Medicare?

Yes. Dustin Cooley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Dustin Cooley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dustin Cooley reassigns Medicare benefits to Mccd Fl Psychiatry Services PA (Jacksonville, FL). 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 Dustin Cooley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dustin Cooley accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, Cigna Healthcare, MedMutual and Oscar Health Insurance and 2 other insurers list Dustin 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 Dustin Cooley was last updated on September 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 53 days 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.