MR. THEODORE COOPER LPCC
NPI 1457880429
Counselor - Mental Health in Saint Paul, MN

Active since June 05, 2017PECOS EnrolledAccepts Medicare Assignment
2136 FORD PKWY # 5332, SAINT PAUL, MN 55116(651) 372-3688 Get Directions Write a Review

NPPES record last updated: October 18, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 18, 2022, Jul 21, 2022, Jun 5, 2017 (3 updates tracked since 2017).

About Mr. Theodore Cooper Lpcc NPPES

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

MR. THEODORE COOPER LPCC (NPI 1457880429) is an individual mental health provider in Saint Paul, Minnesota, licensed in Minnesota (1545) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1457880429
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. THEODORE COOPERCredential: LPCC
Location Address2136 FORD PKWY # 5332Saint Paul, MN 55116-2850
Mailing Address2136 Ford Pkwy # 5332Saint Paul, MN 55116-2850 · (651) 372-3688
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateJune 5, 2017
Last NPPES UpdateOctober 18, 20223 updates tracked since enumeration
NPPES CertifiedOctober 18, 2022
NPI 1457880429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in MN · 1545
2136 FORD PKWY # 5332, Saint Paul, MN 55116

Other Names 1

Other Name (5)Mr. Ted Cooper Lpcc

Accepted 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

Mr. Theodore Cooper Lpcc 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 ID6002349289
PECOS Enrollment IDI20241025002618
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.

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 Theodore Cooper's NPI number?

The NPI number for Theodore Cooper is 1457880429. It was assigned to this individual provider in the NPPES registry on June 5, 2017. The provider is also known as Mr. Ted Cooper Lpcc.

Where is Theodore Cooper located?

Theodore Cooper practices at 2136 Ford Pkwy # 5332, Saint Paul, MN 55116. The listed phone number is (651) 372-3688.

What is Theodore Cooper's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Theodore Cooper enrolled in Medicare?

Yes. Theodore 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 Theodore Cooper accept?

Health plans from HealthPartners and Sanford Health Plan list Theodore 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 Theodore Cooper was last updated on October 18, 2022. 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.