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JAYKANO COOPER LICDC, LPC
NPI 1447733514
Counselor - Addiction (Substance Use Disorder) in Ironton, OH

Active since September 13, 2018PECOS EnrolledAccepts Medicare Assignment
700 PARK AVE, IRONTON, OH 45638(740) 532-1613(740) 532-1715 Get Directions Write a Review

NPPES record last updated: February 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 24, 2025, Jul 19, 2021, Jul 14, 2021 and 5 more (8 updates tracked since 2018).

About Jaykano Cooper Licdc, Lpc NPPES

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

JAYKANO COOPER LICDC, LPC (NPI 1447733514) is an individual addiction (substance use disorder) provider in Ironton, Ohio, licensed in Ohio (LICDC.162775) and active in the NPI registry since September 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1447733514
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJAYKANO COOPERCredential: LICDC, LPC
Location Address700 PARK AVEIronton, OH 45638-1502
Mailing AddressPo Box 108Ironton, OH 45638-0108 · (740) 532-1613 · Fax (740) 532-1715
Phone(740) 532-1613
Fax(740) 532-1715
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateSeptember 13, 2018
Last NPPES UpdateFebruary 24, 20258 updates tracked since enumeration
NPPES CertifiedFebruary 24, 2025
✔ NPI 1447733514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OH · LICDC.162775
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License C.2506755 (OH)
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X · License CDCA.172087 (OH)
700 PARK AVE, Ironton, OH 45638
Open in Google Maps ↗

Other Identifiers 1

Medicaid0323103OH

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.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

Jaykano Cooper Licdc, Lpc 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 ID8729508676
PECOS Enrollment IDI20250221001153
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.

MASON EASTHAM LCDCII
Counselor (Addiction (Substance Use Disorder))
700 PARK AVE
IRONTON, OH 45638
Lawrence County (740) 532-1613
MICKEY A BABCOCK CDCA
Case Manager/Care Coordinator
700 PARK AVE
IRONTON, OH 45638
Lawrence County (740) 532-1613
ROBERT CROCKREL QMHS, CMS
Case Manager/Care Coordinator
700 PARK AVE
IRONTON, OH 45638
Lawrence County (740) 532-1613
ZACHERY HENRY CDCA
Case Manager/Care Coordinator
700 PARK AVE
IRONTON, OH 45638
Lawrence County (740) 532-1613
AUDRA MARTIN CDCA
Counselor (Addiction (Substance Use Disorder))
700 PARK AVE
IRONTON, OH 45638
Lawrence County (740) 532-1613
AMANDA S RANDOLPH CDCA
Case Manager/Care Coordinator
700 PARK AVE
IRONTON, OH 45638
Lawrence County (740) 532-1613
SARAH BRADLEY LSW
Social Worker
700 PARK AVE
IRONTON, OH 45638
Lawrence County (740) 532-1613
KATRINKA MERICAL CDCA, QMHS
Counselor (Addiction (Substance Use Disorder))
700 PARK AVE
IRONTON, OH 45638
Lawrence County (740) 532-1613

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 Jaykano Cooper's NPI number?

The NPI number for Jaykano Cooper is 1447733514. It was assigned to this individual provider in the NPPES registry on September 13, 2018.

Where is Jaykano Cooper located?

Jaykano Cooper practices at 700 Park Ave, Ironton, OH 45638. The listed phone number is (740) 532-1613.

What is Jaykano Cooper's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Jaykano Cooper enrolled in Medicare?

Yes. Jaykano Cooper 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.

What insurance does Jaykano Cooper accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Jaykano Cooper 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 Jaykano Cooper was last updated on February 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.