ELLESHA COOPER MS
NPI 1376091306
Counselor in Gainesville, FL

Q: What is Ellesha Cooper's NPI number?

The NPI number for Ellesha Cooper is 1376091306. It was assigned to this individual provider in the NPPES registry on September 20, 2016.

Q: What is Ellesha Cooper's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Ellesha Cooper was last updated on March 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 September 20, 2016PECOS Enrolled

4300 SW 13TH ST, GAINESVILLE, FL 32608(352) 374-5600 Get Directions Write a Review

NPPES record last updated: March 3, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 3, 2017, Feb 20, 2017, Sep 20, 2016 (3 updates tracked since 2016).

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About Ellesha Cooper Ms NPPES

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

ELLESHA COOPER MS (NPI 1376091306) is an individual counselor in Gainesville, Florida and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1376091306

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameELLESHA COOPERCredential: MS

Location Address4300 SW 13TH STGainesville, FL 32608-4006

Mailing Address4300 Sw 13th StGainesville, FL 32608-4006 · (352) 374-5600

Phone(352) 374-5600

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateSeptember 20, 2016

Last NPPES UpdateMarch 3, 20173 updates tracked since enumeration

✔ NPI 1376091306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

4300 SW 13TH ST, Gainesville, FL 32608

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ellesha Cooper Ms is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5991213118

PECOS Enrollment IDI20250731000827

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.

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.

ROGER SMITH

Counselor